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目的 :探讨重度宫颈糜烂应用Leep刀治疗对妊娠和分娩的影响。方法 :选取笔者所在医院2008年1月~2013年1月收治的51例宫颈糜烂患者为研究对象,平均年龄(23.3±5.2)岁,均为重度宫颈糜烂,合并不孕且有生育要求的女性,采用Leep刀治疗,评价治疗效果,观察妊娠结局及分娩方式。结果 :治疗后3个月,51例中有3例好转为乳突型糜烂,其余48例均痊愈,治愈率为48/51(94.1%)。其中47例患者于24个月内成功妊娠,妊娠率为47/51(92.2%)。成功妊娠的47例患者与同期孕妇组进行比较,在年龄、孕期及分娩方式方面比较差异无统计学意义(P>0.05)。分析剖宫产原因两组患者间差异无意义。结论 :Leep刀治疗法对于重度宫颈糜烂病而言操作过程简单、治愈率高,患者康复后妊娠成功率高且对妊娠结局和分娩方式无影响,因此该疗法非常值得推广。
Objective: To investigate the effect of Leep knife treatment on pregnancy and childbirth in patients with severe cervical erosion. Methods: Fifty-one patients with cervical erosion who were admitted to our hospital from January 2008 to January 2013 were selected as the study subjects. The mean age (23.3 ± 5.2) years were all severe cervical erosion, female with infertility and fertility requirements , Using Leep knife treatment, evaluation of treatment, observe the outcome of pregnancy and mode of delivery. Results: At 3 months after treatment, 3 of 51 cases became papillary erosion, and the remaining 48 cases were cured. The cure rate was 48/51 (94.1%). Of these, 47 patients achieved a successful pregnancy within 24 months with a pregnancy rate of 47/51 (92.2%). 47 cases of successful pregnancy compared with the same period pregnant women group, there was no significant difference in age, pregnancy and delivery mode (P> 0.05). Caesarean section analysis of differences between the two groups meaningless. Conclusions: Leep knife treatment is very simple and has a high cure rate for severe cervical erosion. The success rate of pregnancy after rehabilitation is high and has no effect on the pregnancy outcome and mode of delivery. Therefore, this treatment is worthy of promotion.