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目的探究宫颈环形电切术(LEEP)对宫颈上皮内瘤变(CIN)患者妊娠及妊娠结局的影响。方法选取该院妇产科2013年9月—2015年9月就诊的110例曾进行过LEEP术的产妇作为观察组,选取110例同一时间段未进行过LEEP术的产妇作为对照组,比较二组患者妊娠及妊娠结局的差异。结果观察组早产率占16.36%(18/110),与对照组的早产率4.55%(5/110)相比明显升高,差异有统计学意义(P<0.05)。观察组平均产程时间、宫颈裂伤率、产后出血率、顺产率、剖宫产率与对照组相比,差异无统计学意义(P>0.05)。结论 LEEP术使产妇早产率明显增加,但是对产程时间、宫颈裂伤率、产后出血率、顺产率、剖宫产率的影响差异无统计学意义。
Objective To investigate the effect of cervical ring electrosurgical excision (LEEP) on pregnancy and pregnancy outcomes in patients with cervical intraepithelial neoplasia (CIN). Methods 110 cases of obstetrics and gynecology hospital obstetrics and gynecology from September 2013 to September 2015 were selected as the observation group, 110 cases of the same time period without LEEP surgery were selected as the control group, compared with two Differences in pregnancy and pregnancy outcome among groups. Results The rate of preterm birth in the observation group was 16.36% (18/110), which was significantly higher than that in the control group (4.55%, 5/110). The difference was statistically significant (P <0.05). The average duration of labor, cervical laceration rate, postpartum hemorrhage rate, cesarean section rate and cesarean section rate in the observation group were not significantly different (P> 0.05). Conclusions LEEP can increase the rate of preterm birth, but there is no significant difference between the two groups in labor time, cervical laceration rate, postpartum hemorrhage rate, cesarean section rate and cesarean section rate.