LEEP术在宫颈病变患者中应用及对妊娠结局影响.docVIP

LEEP术在宫颈病变患者中应用及对妊娠结局影响 　　[摘要] 目的 探讨LEEP术对宫颈病变患者妊娠结局的影响。 方法 选取2008年1月～2011年6月于我院行LEEP术的宫颈病变患者共892例，其中62例接受LEEP术后妊娠并分娩的患者作为观察组，选取同期于我院分娩的孕妇60例作为对照组，观察并比较两组患者妊娠结局、分娩孕周、分娩方式及围生儿情况。 结果 LEEP术后孕妇的足月妊娠、胎膜早破、剖宫产、平均分娩孕周及新生儿体重的比率与同期未行LEEP术的孕妇比较，无统计学差异（P0.05）。 结论 现代医疗设施及产前检测系统的完善，已将LEEP术对妊娠结局产生的不良影响降到了最低，但对于LEEP手术切除较宽较深而造成宫颈组织缺失较为严重者的妊娠分娩，应首选剖宫产手术。 　　[关键词] 宫颈病变；宫颈电圈环切术；妊娠结局 　　[中图分类号] R714.2 [文献标识码] B [文章编号] 1673-9701（2013）32-0152-02 　　The application and impact of LEEP surgery in patients with cervical lesions on pregnancy outcome 　　LONG Jihe 　　Department of Obstetrics and Gynecology，Xiangtan Central Hospital in Hunan Province， Xiangtan 411100，China 　　[Abstract] Objective To study the application and impact of LEEP surgery in patients with cervical lesions on pregnancy outcome. Methods A total of 892 cases of cervical lesions with LEEP surgery at our hospital were selected， of which 62 patients received after LEEP pregnancy and childbirth as the observation group， select the corresponding period of pregnant women giving birth in hospital 60 cases as a control group. The pregnancy outcomes， gestational age， mode of delivery and perinatal child case were observed and compared in two groups. Results The rate of the full-term pregnancy after LEEP pregnant， premature rupture of membranes， cesarean section， the average gestational age and birth weight ratio with the same period of pregnant women did not undergo LEEP surgery compared with no significant difference （P0.05）. Conclusion Because of modern medical facilities and prenatal detection system perfect， LEEP surgery on pregnancy outcome has adverse effects to a minimum， but for LEEP surgery wider deeper， resulting in more severe cases of cervical tissue loss pregnancy and delivery， should be preferred cesarean section. 　　[Key words] Cervical lesions； Cervical loop electrosurgical excision procedure； Pregnancy outcomes 　　宫颈病变作为妇产科的常见病之一，多与宫颈癌的发生密切相关，严重威胁育龄妇女的生命健康。近年来随着妇科普查工作的开展及人们健康意识的提高，宫颈上皮内瘤变（cervical intraepithelial