[1]崔宝奎*,郭粉妮,樊萍,等.因不同情况行宫颈环形电切术后的孕妇妊娠结局比较[J].中国计划生育和妇产科,2016,(6):59- 60,65.
　CUI Bao-kui*,GUO Fen-ni,FAN Ping,et al.Comparison of pregnancy outcomes after loop electrosurgical excision procedure due to different conditions[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):59- 60,65.
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因不同情况行宫颈环形电切术后的孕妇妊娠结局比较
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年6期
页码:
59- 60,65
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
Comparison of pregnancy outcomes after loop electrosurgical excision procedure due to different conditions
作者:
崔宝奎*; 郭粉妮; 樊萍; 杨莹; 毛玉莹
解放军五三七医院妇产科
Author(s):
CUI Bao-kui*; GUO Fen-ni; FAN Ping; YANG Ying; MAO Yu-ying
Department of gynaecology and obstetrics,the military 537 hospital,Baoji Shaanxi 721000,P.R.China
关键词:
宫颈柱状上皮异位; 宫颈上皮内瘤变; 宫颈环形电切术
Keywords:
cervical columnar epithelium ectopy; cervical intraepithelial neoplasis; loop electrosurgical excision procedure (LEEP); cervical erosion
分类号:
R 7134+4，R 714.3
摘要:
目的探讨因不同情况行宫颈环形电切术（loop electrosurgical excision procedure，LEEP）后的孕妇妊娠结局。方法回顾性分析解放军五三七医院2009年1月至2015年5月收治的曾行宫颈LEEP术的孕妇267人的临床资料，因“宫颈柱状上皮异位”行LEEP术的225人为治疗A组，因“宫颈上皮内瘤变”（cervical intraepithelial neoplasia，CIN）行LEEP术的42人为治疗B组，同期未行宫颈物理治疗的100名孕妇为对照组，比较3组的先兆流产率、早产率、胎膜早破发生率、顺产率、分娩孕周、新生儿体重、产后出血发生率及顺产时宫颈裂伤发生率。结果3组在先兆流产率、早产率、胎膜早破发生率、顺产率、分娩孕周、新生儿体重、产后出血发生率及顺产时宫颈裂伤发生率方面差异均无统计学意义（P＞005）。结论“宫颈柱状上皮异位”和CIN患者行LEEP术后不会影响妊娠结局。
Abstract:
ObjectiveTo investigate pregnancy outcomes after loop electrosurgical excision procedure due to different conditions. MethodsThe clinical data of 267 pregnant women who had been conducted loop electrosurgical excision procedure (LEEP) hospitalized in the military 537 hospital from January 2009 to May 2015 were analyzed retrospectively. In which 225 women adopted LEEP due to cervical columnar ectopy were selected as group A, 42 patients of cervical intraepithelial neoplasis (CIN) were selected as group B, 100 pregnant women who hadn’t been treated with LEEP during the same time were selected as group C. The rate of threatened abortion, rate of preterm birth, occurrence rate of premature rupture of membranes, rate of vaginal delivery, pregnancy weeks, newborn weight, rate of postpartum hemorrhage, cervical laceration of three groups were compared. ResultsThe rate of threatened abortion, rate of preterm birth, occurrence rate of premature rupture of membranes, rate of vaginal delivery, pregnancy weeks, newborn weight, rate of postpartum hemorrhage, cervical laceration of three groups had no significant differences（P＞ 005）. ConclusionLEEP does not affect pregnancy outcomes.

参考文献/References:

［1］乐杰，谢幸，丰有吉，等．妇产科学 ［M］．第6版.北京：人民卫生出版社， 2004： 265． ［2］乐杰，谢幸，林仲秋，等．妇产科学［M］．第7版.北京：人民卫生出版社， 2008： 261． ［3］石一复，李娟清．妇产科“过度医疗”之痛 ［J］．中国计划生育和妇产科， 2010， 2 （6） ：5-9． ［4］舒焰红，肖小敏，钱德英，等．宫颈电环切除术后妊娠结局的临床相关研究 ［J］．现代妇产科进展， 2012， 21 （10）： 768-770． ［5］罗岩，郭奇桑，隋龙，等．宫颈 LEEP 术对 HSIL 患者妊娠分娩方式及妊娠结局的影响 ［J］．现代妇产科进展， 2014， 23 （10）： 794-796． ［6］胡敏，洪威阳．57例宫颈LEEP术后妊娠结局的临床分析 ［J］．实用妇产科杂志， 2013， 29 （1）： 72-73． ［7］余银仙，揭小军，吕丽敏．宫颈环形电切术对妊娠时限及分娩方式的影响 ［J］．长江大学学报(自科版)， 2014， 11 （33）： 97-98．

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更新日期/Last Update: 1900-01-01