宫颈锥切术对妊娠及其结局的影响

Effect of Cervical Conization on Pregnancy Outcomes

目的:探讨宫颈锥切术在治疗宫颈病变后对妊娠及其结局的影响。方法:收集2009年1月—2013年5月收治的因宫颈病变行宫颈锥切术、有生育要求并妊娠者39例,回顾性分析宫颈锥切术对妊娠结局的影响。结果:所有患者中异位妊娠1例,胚胎停育行清宫术2例。36例分娩的患者中,3例早产,1例早产剖宫产;宫颈环扎1例住院治疗,宫颈锥切高度为3.0 cm;胎膜早破发生率8.3%(3/36)。33例足月妊娠中25例行剖宫产术,总剖宫产率为72.2%(26/36),7例经阴道分娩。分娩的患者中38.8%(14/36)在不同妊娠时期曾住院行保胎治疗。结论:宫颈锥切术后对宫颈病变患者的妊娠结局无明显影响,但增加了剖宫产率及妊娠期间住院保胎率。

Objective：To evaluate the effect of cervical conization on the clinical outcomes of subsequent pregnancy. Methods：Thirty-nine patients who had pregnancy desire with cervical cone cut were retrospective analysed from January 2009 to May 2013. The pregnancy outcomes with cold knife conization（CKC） and loop electrosurgical excision procedure（LEEP） were analyzed. Results：Among all the patients,there were one case of ectopic pregnancy and two cases of embryo damage. In 36 delivery cases, there were three premature delivery（8.3%）, three premature rupture of membrane（8.3%）, twenty-five cesarean section（72.2%）and seven vaginal dilivery. In those 33 full-term delivery cases, there were 14 cases（38.8%） who underwent the hospitalized tocolysis treatment in their different gestational period. Conclusions：There is not significant effect of cervical conization on the clinical outcomes of subsequent pregnancy. However, the rates of cesarean section and the hospitalized tocolysis treatment were increased in those patients who underwent the cervical conization.