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目的:分析并探讨宫颈锥切后对生育的影响。方法:将来我院治疗的100例宫颈锥切的患者按其意愿分为两组,进行不同治疗后,将妊娠情况、妊娠结果以及分娩方式进行进行统计总结并分析。结果:观察组的成功妊娠数为45例,成功妊娠率为90.0%,观察组的成功妊娠数为46例,成功妊娠率为92.0%,经统计学检验,无明显差异,不具有统计学意义(χ2=0.00,P>0.05);观察组胎膜早破数30例,对照组胎膜早破数5例,观察组明显比对照组多,经统计学检验,差异具有统计学意义(χ2=29.92,P<0.05);观察组早产数16例,对照组早产数5例,观察组早产数明显比对照组多,经统计学检验,差异具有统计学意义(χ2=7.81,P<0.05);观察组流产数5例,对照组流产数6例,经统计学检验,差异无统计学意义(χ2=0.08,P>0.05)。观察组剖宫产数40例,对照组剖宫产数20例,观察组明显比对照组多,经统计学检验,差异具有统计学意义(χ2=4.36,P<0.05)。结论:宫颈锥切不影响患者的妊娠,不会导致流产,但会增加早产、胎膜早破的风险,分娩时增加剖宫产率。但总体来说,宫颈锥切术生育的影响并不显著,能达到患者保留生育的要求。
Objective: To analyze and discuss the effect of cervical conization on fertility. Methods: In the future, 100 cases of conization of cervical conization in our hospital were divided into two groups according to their wishes. After different treatments, the pregnancy situation, pregnancy outcome and delivery mode were statistically analyzed and summarized. Results: The number of successful pregnancy in observation group was 45 cases, the successful pregnancy rate was 90.0%. The successful pregnancy in observation group was 46 cases and the successful pregnancy rate was 92.0%. There was no significant difference between the observation group and the statistical significance (χ2 = 0.00, P> 0.05). In the observation group, 30 cases of premature rupture of membranes and 5 cases of premature rupture of membranes in the control group were significantly more than those in the control group (χ2 = 0.00, P> 0.05) = 29.92, P <0.05). There were 16 preterm births in the observation group and 5 premature births in the control group. The preterm birth number in the observation group was significantly higher than that in the control group (χ2 = 7.81, P <0.05 ). The abortion number in the observation group was 5 cases and that in the control group was 6 cases. There was no significant difference between the two groups (χ2 = 0.08, P> 0.05). The observation group had 40 cases of cesarean section and 20 cases of cesarean section in the control group. The observation group was more than the control group, and the difference was statistically significant (χ2 = 4.36, P <0.05). CONCLUSIONS: Conization of the cervix does not affect the patient’s pregnancy and does not result in miscarriage, but increases the risk of premature delivery and premature rupture of the membranes and increases cesarean delivery during childbirth. But overall, the effect of cervical conectomy fertility is not significant, to meet the requirements of patients with reproductive.