宫颈电切术史对妊娠分娩方式选择及妊娠结局的影响探究

Influence of cervical LEEP operation history on the childbirth and pregnancy outcome

目的:探究宫颈环形电切术(LEEP术)对妊娠分娩方式选择及妊娠结局的影响。方法:选取我院妇产科2010年3月至2012年6月收治的38例曾进行过宫颈环切术的产妇作为研究组,另外选取38例同一时间段未进行过LEEP术且进行分娩的产妇作为对照组,比较两组妊娠分娩方式选择及妊娠结局差异。结果:行LEEP术后的产妇早产率占21.05%(8/38),与对照组的早产率5.26%(2/38)相比明显升高,具有统计学意义,P<0.05。与对照组相比,顺产率、剖宫产率无明显差异,不具有统计学意义,P>0.05;研究组新生儿体重>3kg者占比与对照组所占比相比,无明显差异,且新生儿Apgar评分为满意的占比7.89%,较满意的占比92.11%,与对照组的0%和100.00%相比,无明显差异,P>0.05。结论:LEEP术后早产率增加明显,但是对顺产率、剖宫产率和新生儿体重的影响不存在明显差异。

Objectives： To explore the influence of cervical LEEP operation history on the childbirth and pregnancy outcome. Methods： 38 patients received the cervical LEEP operation in obstetrics and gynecology depart- ment of our hospital from March 2010 to June 2010 were chosen as the research group. And 38 patients who didn＇ t receive the cervical LEEP operation were chosen as the control group. The childbirth and pregnancy outcome of two groups were compared. Results： Compared with preterm birth rate （5.26%, 2/38） of the control group, the pre- term birth rate after LEEP was 21.05% （8/38）, with statistically significant difference, P 〈 0. 05. There was no statistically significant difference in vaginal births and cesarean section rate between the two groups, P 〉 0. 05. There was no statistically significant difference in number of newborns whose weight 〉 3 kg, P 〉 0. 05. According to the neonatal apgar score, satisfying accounted for 7.89% and satisfactory accounted for 92.11%, which were not significantly different from the control group （0%, 100. 00% ）, P 〉 0. 05. Conclusion： The prcterm birth rates af- ter LEEP significantly increased, but there were no statistically significant difference in vaginal births, the cesarean section rate and neonatal weight between the two groups.