宫颈环形电切术后妊娠者分娩方式的探讨

Study on delivery mode of pregnant women after loop electrosurgical excision procedure

目的探讨宫颈环行电切术对患者妊娠后分娩方式的影响。方法选取孕前于南京医科大学附属南京妇幼保健院行宫颈环行电切术的产妇23例,及同期无宫颈手术史产妇44例作为对照组,比较两者产程时长以及宫颈裂伤、产后岀血、转为剖宫产的比率大小。结果观察组产妇第一产程短于对照组,而第二产程时长无明显差异,两组产妇宫颈裂伤、产后岀血、剖宫产率无明显差异。结论宫颈环形电切术如控制好锥切深度不影响分娩方式,不应成为剖宫产的指征。

Objective To study the influence of cervical loop electrosurgical excision procedure on delivery mode of postoperative patients. Methods Twenty three pregnant women who undergoing LEEP before pregnancy and 44 pregnant women without cervical operation were categorized into two groups： observation group and control group. The rate of laceration of cervix, postpartum hemorrhage, cesarean section and labor time of two group were compared. Results The time of first stage of labor of observation group was shorter than control group. The time of the second stage of labor and the rate of laceration of cervix, postpartum hemorrhage, cesarean section hadn＇t significant difference in two groups, Conclusion LEEP has not effect on the mode of delivery if cone cutting depth of LEEP was controlled. It shouldn＇t be the indication of cesarean section.