摘要
目的探讨LEEP刀宫颈锥切术后妊娠并发症与分娩方式。方法选择2008年7月1日至2013年6月31日交口县人民医院妇产科住院分娩妊娠前因宫颈上皮内瘤样病变行LEEP刀宫颈锥切术后的孕妇168例为观察组，随机选择同期未行LEEP刀宫颈锥切术的住院分娩孕妇960例为对照组，比较两组妊娠并发症、分娩方式。结果观察组剖宫产率为59．76％，产钳助产率为15．85％，明显高于对照组，观察组自然分娩率为24．39％，明显低于对照组，差异有统计学意义（P〈0．01），除社会因素剖宫产指征，观察组剖宫产率为31．71％，对照组为29．58％，两组比较差异无统计学意义（P〉0．05）。观察组胎儿窘迫发生率为19．05％，胎膜早破发生率为22．63％，早产发生率为19．64％，宫颈裂伤率为0．00％，与对照组比较差异无统计学意义（P〉0．05）。结论LEEP刀宫颈锥切术后增加早产、胎膜早破等的发生，去除社会因素并没有增加剖宫产率、宫颈子宫下段裂伤率。
Objective To investigate the LEEP knife conization pregnancy complications and delivery mode. Methods One hundred and sixty-eight cases from July 1st, 2008 to June 31th, 2013 in people＇s hospital Jiaokou who were scheduled for cervical intraepithelial neoplasia LEEP knife eonization were chose as the observation group, 960 cases without LEEP knife conization were chose as control group, the pregnancy complications and delivery mode were compared between the two groups. Results In the observation group, the rate of cesarean section was 59.76% , forceps delivery rate was 15.85% , they were significantly higher than those in the control group, the natural childbirth rate was 24. 39%, which significantly lower than that in the control group, the difference was statistically significant （P 〈 0. 01 ） , after the removal of social factors of cesarean section indications, in the observation group the cesarean section rate was 31.71% , in control group, that was 29.58% , there was no significant difference between the two groups（P 〉0. 05）, the fetal distress rate was 19.05%, the incidence was 22.63%, the incidence of preterm was 19.64% , cervical laceration was 0%. Compared with the control group, there was no significant difference （ P 〉 0.05 ）. Conclusions LEEP knife conization can increase preterm delivery and premature rupture of membranes, with the removal of the social factors, the rate of cesarean section wasn＇ t increased, and the lower uterine segment laceration of cervix wasn＇ t increased either.
出处
《中国实用医刊》
2014年第6期52-54,共3页
Chinese Journal of Practical Medicine
