不同孕期治疗妊娠梅毒对妊娠结局的影响

目的:明确不同孕期妊娠梅毒患者的治疗对妊娠结局的影响。方法:共124例妊娠梅毒妇女接受了驱梅治疗,包括孕早期42例,孕中期40例,孕晚期42例。结果:124例妊娠梅毒患者中不良妊娠33例,包括流产死产14例,先天性梅毒患儿19例。孕早期不良妊娠率为7.14%,孕中期为22.5%,孕晚期为50%,三组比较差异有统计学意义(P0.05)。结论:妊娠梅毒患者治疗越早,不良妊娠发生率越低。

Influence of treatment of pregnant syphilis on the outcome of pregnancy in different gestation

Objective:To determine the influence of the treatment of pregnant syphilis on the outcome of in different gestation. Methods:One hundred and twenty-four pregnant women with syphilis were treated, with penicillin including 42 women in the first trimester, 40 in the second trimester and 42 in the third trimester. Results:Adverse pregnant outcomes occurred in 33 pregnancies ( miscarriage and stillbirth in 14 women and congenital syphilis in 19 women) . The incidence of adverse pregnant outcomes was 7.14% in the first trimes-ter, 22.5% in the second trimester and 50% in the third trimester. The differences among the three groups were significant (P<0.05). Conclusion: The earlier treatment for the pregnancy with syphilis begins, the lower the incidence of adverse pregnancy outcomes will be.