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目的探讨宫颈电环切(LEEP)术后妊娠的结局和分娩方式。方法总结2005年1月-2007年12月间曾在本院行LEEP术后妊娠的孕妇18例为观察组,取同期本院分娩且孕前未行任何宫颈手术的产妇36例作为对照组,观察两组的妊娠结局及分娩方式。结果LEEP组早产、胎膜早破、羊膜腔感染综合征、低出生体重儿、剖宫产率、宫颈裂伤、产后出血的发生率与对照组比较,无显著性差异(P>0.05)。总产程平均(9.6±0.5)h,略短于对照组(11.1±0.2)h,但无统计学意义(P>0.05)。结论LEEP术是治疗宫颈上皮内瘤样病变有效的方法,不影响妊娠的结局,也不影响分娩方式,建议手术后间隔时间大于12个月后妊娠。
Objective To investigate the outcome of pregnancy and delivery after cervical electrosurgery (LEEP). Methods From January 2005 to December 2007, 18 pregnant women who had undergone LEEP postoperative pregnancy in our hospital were enrolled in this study. Twenty-six pregnant women who delivered at the same period in our hospital and who did not undergo any cervical surgery during the same period were selected as the control group. Pregnancy outcome and mode of delivery in both groups. Results The incidence of preterm delivery, premature rupture of membranes, amniotic cavity infection syndrome, low birth weight infants, cesarean section rate, cervical laceration and postpartum hemorrhage in LEEP group were not significantly different from those in control group (P> 0.05). The average duration of labor was (9.6 ± 0.5) h, slightly shorter than that of the control group (11.1 ± 0.2) h, but not statistically significant (P> 0.05). Conclusion LEEP is an effective method for the treatment of cervical intraepithelial neoplasia. It does not affect the outcome of pregnancy, nor does it affect the mode of delivery. It is suggested that the interval after operation should be greater than 12 months after pregnancy.