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目的:探讨宫颈环形电切术对妊娠结局及分娩方式的影响。方法:2004年1月~2010年10月在该院诊断为宫颈上皮内病变(CIN)并接受宫颈环形电切术(LEEP)治疗后的妊娠患者98例,对其妊娠结局进行回顾性分析。结果:接受宫颈LEEP术的538例患者,术后妊娠98例(妊娠率18.2%);计划外妊娠人工流产10例,孕50天自然流产1例,孕6月因胎儿畸形引产1例,86例孕龄达28周后早产3例,足月产83例;与同期健康孕妇进行对比观察,观察组早产、胎膜早破、产程时限、新生儿低体重出生率和新生儿窒息发生率与对照组比较差异无统计学意义(P>0.05);观察组剖宫产率为48.83%,对照组剖宫产率为25.00%,两组比较有统计学差异(P<0.05);观察组分娩孕周(38.2±2.3)周,对照组分娩孕周(39.2±3.4)周,两组比较有统计学差异(P<0.05)。结论:宫颈LEEP增加了剖宫产的发生率,但对年轻要求保留生育功能的CIN患者,宫颈LEEP术是安全有效的方法。
Objective: To investigate the effect of cervical circumcision on pregnancy outcome and delivery mode. Methods: From January 2004 to October 2010, 98 pregnant women diagnosed with cervical intraepithelial lesions (CIN) undergoing cervical ring electrosurgical excision (LEEP) were retrospectively analyzed. Results: 538 patients undergoing cervical LEEP surgery, 98 cases of postoperative pregnancy (pregnancy rate 18.2%); unplanned pregnancy induced abortion in 10 cases, 50 cases of spontaneous abortion in 1 case, 6 months pregnant fetus malformation induced abortion in 1 case, 86 The gestational age of up to 28 weeks after the birth of 3 cases, 83 cases of full-term; compared with healthy pregnant women, the observation group premature labor, premature rupture of membranes, birth process time limit, neonatal low birth weight and neonatal asphyxia incidence and control (P> 0.05). The rate of cesarean section was 48.83% in the observation group and 25.00% in the control group, with statistical significance (P <0.05) Week (38.2 ± 2.3) weeks, gestational age gestational age (39.2 ± 3.4) weeks, the two groups were statistically significant (P <0.05). CONCLUSION: Cervical LEEP increases the incidence of cesarean section. However, cervical LEEP is a safe and effective method for CIN patients who require reproductive function.