LEEP术在宫颈病变患者中的应用及对妊娠结局的影响  

The application and impact of LEEP surgery in patients with cervical lesions on pregnancy outcome

作　　者：龙寄河 

机构地区：[1]湖南省湘潭市中心医院妇产科,湖南湘潭411100

出　　处：《中国现代医生》2013年第32期152-153,156,共3页China Modern Doctor

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（P＞0.05）.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.Objective To study the application and impact of LEEP surgery in patients with cervical lesions on preg- nancy 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 pe- riod 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 gcstational age and birth weight ratio with the same period of pregnant women did not undergo LEEP surgery compared with no sig- nificant difference （P〉0.05）. Conclusion Because of modem 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 tissueloss pregnancy and delivery, should be preferred cesarean section.

关 键 词：宫颈病变 宫颈电圈环切术 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]