宫颈环行电切术治疗宫颈上皮内瘤样变对妊娠的影响  

The Effect of Loop Electrosurgical Excision Procedure on Pregnancy and Delivery Outcomes of Patients with Cervical Intraepithelial Neoplasia

作　　者：丁李[1] 苏涛[1] 吴丹[1] 王弓力[1] 李柱南[1] 

机构地区：[1]上海交通大学附属国际和平妇幼保健院宫颈病中心,上海200030

出　　处：《中国临床医学》2008年第2期215-217,共3页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨有生育要求的宫颈上皮内瘤样变患者的手术方式，分析宫颈环行电切术（loop electrosurgical excision procedure，LEEP）对妊娠和妊娠结局的影响。方法：回顾研究2003年6月-2005年5月间47例因宫颈上皮内瘤样变行LEEP术后妊娠的患者的妊娠时间、妊娠结局、分娩孕周、分娩方式与胎儿情况。结果：47例患者术后6个月内妊娠者6例，6～12个月妊娠者23例，1年后妊娠者15例，2年后妊娠者3例。12例早孕期行人工流产术终止妊娠；5例孕早期难免流产；早产剖宫产1例；足月妊娠分娩29例，其中阴道分娩19例，剖宫产10例，无宫颈性难产。结论：对要求保留生育功能的年轻宫颈疾病患者而言，宫颈LEEP术是一种安全有效的方法。Objective：To evaluate of the effects the loop electrosurgical excision procedure （LEEP）on pregnancy outcomes of patients with cervical intraepithelial neoplasia. Methods：Retrospectively studied 47 patients undergone LEEP because of cervical intraepithelial neoplasia （CIN）, they were subsequently pregnant. Analysed the time of pregnancy, outcome of pregnancy, mode of delivery and fetal status. Results： 6 patients were pregnant in 6 months after LEEP, 23 patients in 6-12 months, 15 patients in 1 year and 3 patients in 3 years respectively. 12 patients with artificial abortion, 5 with inevitable miscarriage. 1 with preterm birth and caesarean section. There were 29 term pregnancies, 19 of whom via vaginal delivery and 10 caesarean section. No cervical asphyxia occurred. Conclusion：LEEP is a safe and effective method for pregnancy demanding patients with CIN.

关 键 词：宫颈环行电切术 宫颈上皮内瘤样病变 妊娠结局 

分 类 号：R737.33[医药卫生—肿瘤]