妊娠期阴道出血1186例临床分析

目的：探讨妊娠期阴道出血的病因及防治.方法：回顾分析2001年4月至2004年10月我院门诊妊娠期阴道出血1186例B超已排除前置胎盘和胎盘早剥而做妇科检查明确诊治.结果：妊娠期阴道出血病因诊断：先兆流产265例（22.34%）、先兆早产153例（15.34%）、阴道炎278例（23.44%）、宫颈糜烂114例（9.61%）、宫颈息肉324例（27.31%）、宫颈癌2例（0.17%）、泌尿道炎16例（1.35%）、肛裂及痔疮4例（0.34%）.结论：妊娠期阴道出血病因常见与宫颈炎和阴道炎,给予孕前防治及孕期对症治疗是行之有效的方法.

Clinical analysis of 1186 cases of vaginal bleeding of pregnancy

Objective:To investigate the causes,preventions and treatments of vaginal bleeding of pregnancy.Methods:From April 2001 to October 2004,1180 cases of vaginal bleeding of pregnancy in outpatient service of our hospital excluded placenta previa and placenta abruption by type B ultrasonography were diagnosed by the gynecological examination and then analyzed between.Results:The cases of vaginal bleeding of pregnancy were diagnosed.256 cases were threatened abortion(22.34%).153 cases were preterm labor(15.34%).278 cases were vaginitis(23.34%).14 cases were cervical erosion(9.61%).324 case were cervical polypus(27.31%).2 cases were cervical cancer(0.17%).16 cases were urethritis(1.35%).4 cases were anal fissure and hemorrhoid(0.34%).Conclusion:Vaginal bleeding of pregnancy was often in the conditions of cervicitis and vaginitis.The effective treatment methods were treatment before pregnancy and causal treatment.