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Antenatal Kontrollerde PAP Smear Taraması ve Sonuçları

RESULTS OF PAP SMEAR SCREENING IN ANTENATAL EXAMINATIONS

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Aim: We aimed to evaluate the PAP smears of 194 pregnant women who applied to the antenatal outpatient clinic of Haydarpaşa Numune Training and Research Hospital and screen the infectious and neoplastic lesions of the cervix. Materials and Methods: PAP smears were taken using Ayre spatulas from 194 randomly chosen pregnant women who stated that they hadn't had a PAP smear for the past year. The PAP smears were evaluated in the pathology laboratory using the Bethesda system. Results: 37.11% of the pregnant women had normal results whereas 55.15% had signs of infections and inflammation, 5.67% reactive and reparative changes, 1.55% ASCUS, and 0.51% HGSIL. Conclusion: Antenatal controls are a good opportunity for performing PAP smears in countries where periodic health controls are not routinely performed, like Turkey. We believe that, PAP smears must be an integral part of the routine examination.
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Abstract (Original Language): 
Amaç: Bu çalışmada gebe polikliniğine antenatal kontrol için başvuran 194 gebeden PAP smear alınarak serviksin neoplas-tik ve enfeksiyöz değişikliklerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Rastgele seçilen ve son bir yıldır smear al¬dırmadığını bildiren 194 gebeden Ayre spatulası kullanılarak PAP smear alındı, patoloji laboratuvarında incelenerek Bethes-da sistemi ile değerlendirildi. Bulgular: Gebelerin smear sonuçlarının %37.11'i normal sınırlarda bulunurken %55.15'inde enfeksiyon bulguları, %5.67'sinde reaktif ve reparatif değişiklikler, %1.55'inde ASCIIS, %0.51'inde HGSIL tespit edildi. Sonuç: Ülkemizde olduğu gibi periyodik sağlık kontrollerine gitme alışkanlığı olmayan toplumlarda gebelik kontrolleri için doktora başvurulması, PAP smear taraması için iyi bir fırsattır. Rutin muayenenin bir bölümü haline getirilmesi PAP smear uygulanmasının yaygınlaşmasını sağlayacaktır.
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  • 3
111-115
  • Turkish

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