宫颈高频电波刀电圈锥切术对宫颈上皮内瘤变患者妊娠及其结局的临床分析  

Clinical analysis of the effect of cervical conization on fertility and pregnancy outcome

作　　者：张天峰[1] 许可可 黄志欣[1] 杜敏[1] 张娟娟[1] 廖莳[1] 罗光楠[1] 

机构地区：[1]广东省深圳市罗湖区人民医院妇产科,广东深圳518001

出　　处：《中国内镜杂志》2008年第11期1195-1197,共3页China Journal of Endoscopy

摘　　要：目的探讨宫颈上皮内瘤变患者用高频电波刀电圈(loop electrosurgical excision procedure,LEEP)行宫颈锥切术后的妊娠及其结局。方法回顾性分析该院妇产科2005年1月～2007年12月收治的54例因CIN实施宫颈高频电波刀电圈锥切术的分娩患者的妊娠时间、妊娠周数、妊娠结局和终止妊娠方式。结果54例患者,年龄21～45岁,平均(29.12±2.38)岁。54例妊娠患者中,1例异位妊娠,4例自然流产,49例已分娩。已分娩的49例患者中,2例早产,早产率为3.7%(2/54);4例胎膜早破,胎膜早破发生率为7.4%(4/54);无低出生体重儿发生;7例顺产,42例行剖宫产术,剖宫产率为77.8%(42/54)。在54例患者中,宫颈锥切高度延至颈管2.0～2.5cm,锥切宽度在病灶外0.5cm。结论宫颈高频电波刀电圈锥切术对CIN患者的妊娠及其结局无明显影响,不增加早产和低出生体重儿发生率。【Objective】To evaluate the effect of conization for cervical intraepithelial neoplasia on the outcome of subsequent fertility and pregnancy. 【Methods】 A retrospective study was performed of patients who underwent conization from 2005 to 2007 in our hospita1. 【Results】Fifty-four patients aged from 21 to 45years were included in the study. The mean age of patients was (29.12±2.38) years. Among the 54 pregnancies,there occurred one ec- topic pregnancy and four cases of spontaneous abortion. In the 49 delivery ...

关 键 词：子宫颈 锥形切除术 妊娠结局 

分 类 号：R737.33[医药卫生—肿瘤]