摘要
目的探讨宫颈上皮内瘤变患者用高频电波刀电圈(loop electrosurgical excision procedure,LEEP)行宫颈锥切术后的妊娠及其结局。方法回顾性分析该院妇产科2005年1月~2007年12月收治的54例因CIN实施宫颈高频电波刀电圈锥切术的分娩患者的妊娠时间、妊娠周数、妊娠结局和终止妊娠方式。结果54例患者,年龄21~45岁,平均(29.12±2.38)岁。54例妊娠患者中,1例异位妊娠,4例自然流产,49例已分娩。已分娩的49例患者中,2例早产,早产率为3.7%(2/54);4例胎膜早破,胎膜早破发生率为7.4%(4/54);无低出生体重儿发生;7例顺产,42例行剖宫产术,剖宫产率为77.8%(42/54)。在54例患者中,宫颈锥切高度延至颈管2.0~2.5cm,锥切宽度在病灶外0.5cm。结论宫颈高频电波刀电圈锥切术对CIN患者的妊娠及其结局无明显影响,不增加早产和低出生体重儿发生率。
【Objective】To evaluate the effect of conization for cervical intraepithelial neoplasia on the outcome of subsequent fertility and pregnancy. 【Methods】 A retrospective study was performed of patients who underwent conization from 2005 to 2007 in our hospita1. 【Results】Fifty-four patients aged from 21 to 45years were included in the study. The mean age of patients was (29.12±2.38) years. Among the 54 pregnancies,there occurred one ec- topic pregnancy and four cases of spontaneous abortion. In the 49 delivery ...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第11期1195-1197,共3页
China Journal of Endoscopy
关键词
子宫颈
锥形切除术
妊娠结局
cervix uteri
conization
pregnancy outcome