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目的探讨因不同情况行宫颈环形电切术(loop electrosurgical excision procedure,LEEP)后的孕妇妊娠结局。方法回顾性分析解放军五三七医院2009年1月至2015年5月收治的曾行宫颈LEEP术的孕妇267人的临床资料,因“宫颈柱状上皮异位”行LEEP术的225人为治疗A组,因“宫颈上皮内瘤变”(cervical intraepithelial neoplasia,CIN)行LEEP术的42人为治疗B组,同期未行宫颈物理治疗的100名孕妇为对照组,比较3组的先兆流产率、早产率、胎膜早破发生率、顺产率、分娩孕周、新生儿体重、产后出血发生率及顺产时宫颈裂伤发生率。结果 3组在先兆流产率、早产率、胎膜早破发生率、顺产率、分娩孕周、新生儿体重、产后出血发生率及顺产时宫颈裂伤发生率方面差异均无统计学意义(P>0.05)。结论 “宫颈柱状上皮异位”和CIN患者行LEEP术后不会影响妊娠结局。
Objective To investigate the pregnancy outcomes of pregnant women undergoing LEEP after different circumstance of cervical ring electrosurgical excision procedure (LEEP). Methods The clinical data of 267 pregnant women who underwent cervical LEEP from January 2009 to May 2015 in People’s Liberation Army were retrospectively analyzed. The data of 225 patients undergoing LEEP surgery for “cervical columnar epithelial ectopic pregnancy” In group A, 42 pregnant women with LEEP who underwent cervical intraepithelial neoplasia (CIN) were treated with Group B, and 100 pregnant women without cervical physical therapy over the same period were selected as the control group. Threatened abortion Rate, premature delivery rate, the incidence of premature rupture of membranes, birth rate, birth gestational age, birth weight, incidence of postpartum hemorrhage and incidence of cervical laceration during delivery. Results There was no significant difference in rates of threatened abortion, premature birth rate, premature rupture of membranes, birth rate, gestational birth weight, birth weight, the incidence of postpartum hemorrhage and the incidence of cervical laceration during delivery (P > 0.05). Conclusion “Cervical columnar epithelial ectopic” and CIN patients undergoing LEEP surgery will not affect the pregnancy outcome.