LEEP术中宫颈切除深度对分娩期宫颈机能的影响分析  

Impact analysis of cervical resection depth to cervical function during delivery in LEEP surgery

作　　者：傅雪芳 黄兴华[2] 罗勤 陈彩霞 

机构地区：[1]广东省东莞市东城医院妇产科,广东东莞523007 [2]广东省东莞市妇幼保健院妇产科,广东东莞523000

出　　处：《中国医药科学》2016年第24期94-96,共3页China Medicine And Pharmacy

摘　　要：目的探讨宫颈环形电切术（LEEP）不同宫颈切除深度对分娩期宫颈机能影响。方法收集2012年2月-2014年3月我院收治有生育要求宫颈上皮内瘤变患者72例临床资料进行回顾性分析,所有患者均行LEEP术治疗,根据患者宫颈切除深度不同分为研究组（宫颈切除深度为15-20mm,35例）和对照组（宫颈切除深度为21-25mm,27例）,比较两组患者手术时间、术中出血量、术后出血量,并对两组患者随访2年,比较术后3个月两组患者宫颈愈合、感染及宫颈狭窄情况,并统计两组患者妊娠分娩期宫颈裂伤、宫颈机能不全发生率。结果两组患者手术时间、术中出血量、术后出血量比较均无统计学意义（P〉0.05）。术后3个月两组患者宫颈愈合、感染率比较无统计学意义（P〉0.05）;研究组患者宫颈狭窄发生率显著低于对照组,比较有统计学意义（P〈0.05）。妊娠分娩期,研究组患者宫颈裂伤、宫颈机能不全发生率均低于对照组,比较有统计学意义（P〈0.05）。结论 LEEP术中宫颈切除深度对患者宫颈狭窄及妊娠分娩期宫颈裂伤、宫颈机能不全均有显著影响。Objective To investigate the effect of cervical resection depth to cervical function during delivery in LEEP surgery. Methods Clinical data of 72 cases of patients with cervical intraepithelial carcinoma and fertility requirements in our hospital from February 2012 to March 2014 were selected and retrospectively analyzed. All patients underwent LEEP treatment. According to resection depth research, they were divided into study group（Trachelectomy depth of 15- 20 mm according to patients with cervical, 35 cases） and control group（Trachelectomy depth of 21- 25 mm, 27 cases）. The operative time, blood loss, postoperative bleeding of the two groups were compared. And patients were followed for 2 years.The healing, infection and cervical stenosis, pregnancy, childbirth and statistics of the two groups of patients cervical laceration, the incidence of cervical incompetence of the two groups 3 months after cervical were compared. Results The operative time, blood loss, postoperative bleeding showed no significant difference between the two groups（P 〉 0.05）. After 3 months, there was no statistical significance on cervical healing, infection ratebetween the two groups（P 〉 0.05）. The incidence of patients with cervical stenosis in study group was significantly lower than that in control group, and the difference was statistically significant（P〈0.05）. Pregnancy, childbirth, patients with cervical laceration, cervical incompetence incidence in study group were lower than those in control group, and the difference was statistically significant（P 〈 0.05）. Conclusion LEEP surgery Trachelectomy depth on patients with cervical stenosis and cervical laceration of pregnancy and delivery, cervical incompetence has significant effects.

关 键 词：宫颈上皮内癌变 宫颈环形电切术 分娩期 分娩 宫颈机能 

分 类 号：R714.2[医药卫生—妇产科学]