摘要
目的探讨宫颈环形电切(LEEP)术对分娩期宫颈机能的影响。方法将204例女性分为观察组和对照组,观察组LEEP术中宫颈切除深度为10~20mm,对照组LEEP术中宫颈切除深度为21~25mm,比较两组术后的随访结果。结果观察组术后出血量、手术时间、术后出血情况、术后感染皆与时照组无显著性差异(P>0.05)。术后1月、2月时,观察组宫颈修复情况优于对照组(x^2值分别为0.542、10.264,均P<0.05)。观察组术后宫颈狭窄情况轻于对照组(x^2=15.711,P<0.01)。术后1年分娩时,观察组宫颈裂伤、宫颈机能不全发生率低于对照组(x^2值分别为6.423、6.655,均P<0.05)。结论 LEEP术中宫颈切除深度对女性术后宫颈修复、宫颈狭窄的发病率、分娩时宫颈裂伤、宫颈机能不全的发生率影响较大,而20mm以下的切除深度对女性术后宫颈生理及机能的影响较小。
Objective To study the influence of loop electrosurgical excisional procedure （LEEP） on cervical function during delivery. Methods Totally 204 women were divided into observation group and control group. The observation group accepted LEEP with cervical resection depth of 10-20mm, and the control group accepted LEEP with cervical resection depth of 21-25mm. Postoperative follow-up results of two groups were compared. Results Postoperative blood loss, operative time, postoperative bleeding and postoperative infection of the observation group were not significantly different from those of the control group （ P 〉 0.05 ）. The cervical repair of the observation group was obviously better than the control group in postoperative 1 month and 2 months （X2 value was 0. 542 and 10. 264, respectively, both P 〈 0.05 ）. Postoperative cervical stenosis was obviously mild in the observation group when compared with the control group （X2 = 15. 711 ,P 〈 0.01 ）. The incidence of cervical laceration and cervical incompetence of mothers was significantly lower in the observation group than in the control group at intrapartum 1 year after surgery （X2 value was 6. 423 and 6. 655, respectively, both P 〈 0. 05 ）. Conclusion Depth of intraoperative cervical excision in LEEP has great influence on postoperative cervical repair, incidence of cervical stenosis, cervical laceration at childbirth and cervical incompetence of women, but there is little effect on cervical physiology and function with cervical resection depth of less than 20mm.
出处
《中国妇幼健康研究》
2014年第4期634-635,646,共3页
Chinese Journal of Woman and Child Health Research
关键词
宫颈环形电切术
妊娠
宫颈狭窄
宫颈机能
loop electrosurgical excisional procedure （LEEP）
pregnancy
cervical stenosis
cervical tunction
