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目的:探讨LEEP刀治疗宫颈病变后对妇女妊娠结局及分娩方式的影响。方法:选择2006年~2011年该院收治的97例有生育要求、采用LEEP刀治疗宫颈病变的患者作为研究组,另选择50例健康妇女作为对照组,回顾性分析研究组患者的手术情况,并对比两组产妇的妊娠结局及分娩方式。结果:研究组患者平均手术时间为(6.1±3.8)min,平均出血量为(13.4±6.1)ml,术中及术后未见严重并发症。两组产妇在流产率、阴道分娩率、剖宫产率以及产程、产后2 h出血量、胎膜早破、新生儿窒息、产后宫颈破裂、新生儿体重等方面比较,差异均无统计学意义(P>0.05);而研究组早产率显著高于对照组,两组比较,差异有统计学意义(P<0.05)。结论:LEEP刀对宫颈病变后妇女分娩方式影响较小,对妊娠结局的影响主要体现在增加早产儿发生率方面,需要进行针对性的预防和管理。
Objective: To investigate the effect of LEEP knife on pregnancy outcome and delivery mode of women after treatment of cervical lesions. Methods: A total of 97 cases with fertility requirements admitted to the hospital from 2006 to 2011 were enrolled in this study. Patients with cervical lesions treated with LEEP knife were selected as the study group and 50 healthy women as control group. The operative conditions of the study group were retrospectively analyzed. And compared two groups of maternal pregnancy outcomes and delivery methods. Results: The mean operative time was (6.1 ± 3.8) min in the study group and (13.4 ± 6.1) ml in the study group. No serious complications occurred during or after surgery. There was no significant difference in abortion rate, vaginal delivery rate, cesarean section rate, birth process, 2 h postpartum blood loss, premature rupture of membranes, asphyxia, neonatal asphyxia, postpartum cervix rupture and newborn weight (P> 0.05). However, the preterm birth rate in the study group was significantly higher than that in the control group. There was significant difference between the two groups (P <0.05). Conclusions: LEEP knife has little effect on the delivery mode of women after cervical lesion. The impact on pregnancy outcome is mainly reflected in the need of targeted prevention and management in increasing the incidence of premature infants.