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首页> 外文期刊>Best practice & research:Clinical obstetrics & gynaecology >Colposcopy in special circumstances: Pregnancy, immunocompromise, including HIV and transplants, adolescence and menopause.
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Colposcopy in special circumstances: Pregnancy, immunocompromise, including HIV and transplants, adolescence and menopause.

机译：特殊情况下的阴道镜检查：怀孕，免疫力低下，包括HIV和移植，青春期和更年期。

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摘要

The true value of colposcopy in pregnancy is under debate; the examination may be more difficult depending on the gestation at which a woman presents. Cervical intraepithelial neoplasia does not have an accelerated progression during pregnancy, and treatment is usually deferred until postpartum. The prevalence of cervical intraepithelial neoplasia is greater in women with immune compromise. Those with human immunodeficiency have a higher prevalence, more persistence and less regression of human papillomavirus-related infections. Cervical cancer remains an AIDS-defining illness. Women who have had renal transplants also have a higher risk of developing cervical intraepithelial neoplasia. By contrast, other chronic illnesses that require immunosuppressant therapy do not seem to show this added risk. In young women, human papillomavirus infection is common and cervical intraepithelial neoplasia is also evident, but regression of these lesions is frequent and so conservative review may be appropriate. At the menopause, colposcopy is often unsatisfactory. The use of human papillomavirus testing for triage of low-grade cytological abnormalities may benefit this age group.
机译：阴道镜检查在怀孕中的真正价值尚有争议。根据女性的妊娠情况，检查可能会更加困难。宫颈上皮内瘤变在怀孕期间没有加速的进展，通常将治疗推迟至产后。免疫受损的女性宫颈上皮内瘤变的患病率更高。那些具有人类免疫缺陷的人患乳头瘤病毒相关感染的患病率更高，持久性更高，消退率更低。宫颈癌仍然是定义艾滋病的疾病。进行肾脏移植的妇女发生宫颈上皮内瘤变的风险也更高。相比之下，其他需要免疫抑制剂治疗的慢性疾病似乎并未显示出这种增加的风险。在年轻女性中，人乳头瘤病毒感染很常见，子宫颈上皮内瘤变也很明显，但是这些病变的消退很频繁，因此保守检查可能是合适的。在更年期，阴道镜检查通常不能令人满意。使用人类乳头瘤病毒测试对低度细胞学异常进行分类可能会使该年龄组受益。

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