摘要
目的探讨对子宫颈上皮内瘤样病变(CIN)行宫颈环切术(LEEP)后对妊娠结局的影响。方法31例行宫颈环切术后妊娠的CIN患者为LEEP组,对照组采用随机抽样的方法抽取门诊妊娠的妇女33例。结果两组比较早产数、足月阴道分娩数、剖宫产率(LEEP组为23.81%、对照组为27.27%)均相似。LEEP组阴道分娩的产程较对照组短(2.1～6.2h),无新生儿窒息,无一例宫颈机能不全者。结论LEEP术符合生理要求、可以保留宫颈、保留生育功能、微创、出血少、感染率低、恢复快。本研究表明LEEP术后6～20个月妊娠为宜,对要求保留生育功能的年轻患者是安全有效的方法,且不影响其分娩结局,多数经阴道分娩,不增加剖宫产率。LEEP术的优势是宫颈冷刀切、激光治疗不能比拟的。
Objective To investigate the effects of loop electrosurgical excision procedure(LEEP)on pregnancy and delivery outcomes in patients with cervical epithelial neoplasia(CIN).Methods After the CIN patients had treated by LEEP,31 pregnant women were called LEEP group in our hospital.33 pregnant women were randomly sampled from the out patients were selected into the control group.Results No significant difference was identified between these two groups in respect of the numbers of premature delivery,vaginal delivery after full term,and caesarean section(23.81% in LEEP group vs 27.2% in control group).Total stage of labor with full term vaginal delivery in LEEP group is shorter(2.1-6.2 hours)than the control group.No asphyxia occurred and incompetence of cervix uteri.Conclusion LEEP fits for physiological demand which can remain cervix uteri and breeding function with advantages of micro-wound,little bleeding,low infection rate,and fast recovery.It is indicated that the eligible time for pregnancy should be 6-20 months after LEEP.LEEP is a safe and effective method to treat CIN in young patients demanding to remain delivery function.In addition,LEEP has no effect on the pregnant outcomes.Most patients after LEEP can deliver through vagina.These advantages of LEEP can not be observed in patients treated by cold knife or laser.
出处
《中国实用医药》
2007年第31期3-5,共3页
China Practical Medicine
基金
广东省惠州市科技计划项目(项目编号2007Y073)
关键词
宫颈上皮内瘤样病变
子宫颈环切术
妊娠结局
Cervical Intraepithelial Neoplasia
Loop electrosurgical excision procedure
Pregnancy outcome
