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目的:探讨妊娠期梅毒的临床特点和影响妊娠结局的因素。方法:回顾性分析2003年2月至2010年11月杭州艾玛妇产医院收治的329例妊娠梅毒患者,其中治疗组200例,未治疗组129例,对两组患者妊娠结局、围产儿预后和先天梅毒的发生率进行统计学比较、分析。结果:①与未治疗组比较,治疗组的足月妊娠率达93.5%,显著高于未治疗组(P<0.01);治疗组死胎、死产、新生儿死亡、低体质量儿和先天梅毒儿发生率显著低于未治疗组(P<0.01);②治疗前和分娩前母血TRUST滴度≥1∶8时,会导致先天梅毒儿发生率显著增高(P<0.01);③孕周小于16周开始接受治疗效果最好,正常新生儿的出生率可达92.9%,显著高于治疗时孕周在16周以后的患者(P<0.01)。结论:妊娠梅毒的早期诊断和治疗可显著改善妊娠结局和围生儿预后情况,降低先天梅毒发生率。
Objective: To investigate the clinical features of syphilis in pregnancy and the factors that influence the outcome of pregnancy. Methods: A retrospective analysis of 329 pregnancies with syphilis in Hangzhou Emma Maternity Hospital from February 2003 to November 2010 was conducted. Among them, 200 cases in the treatment group and 129 cases in the untreated group were included in the study. Pregnancy outcome, perinatal outcome And the incidence of congenital syphilis statistical comparison analysis. Results: ① Compared with untreated group, the full-term pregnancy rate in the treatment group was 93.5%, significantly higher than that in the untreated group (P <0.01); stillbirth, stillbirth, newborn death, low birth weight and congenital syphilis (P <0.01); (2) The incidence of congenital syphilis increased significantly (P <0.01) before TRUST titer≥1: 8 before treatment and before delivery; The treatment started less than 16 weeks, with a normal birth rate of 92.9%, significantly higher than the gestational age of 16 weeks after treatment (P <0.01). Conclusion: The early diagnosis and treatment of syphilis in pregnancy can significantly improve pregnancy outcomes and prognosis of perinatal children, reduce the incidence of congenital syphilis.