探析LEEP术治疗宫颈癌前病变对产妇妊娠结局产生的影响

Effect of LEEP on Precancerous Lesion of Cervix on Pregnant Women's Pregnancy Outcome

目的探究LEEP术治疗宫颈癌前病变对产妇妊娠结局产生的影响。方法择42例2016年2月—2017年5月宫颈癌前病变患者妊娠女性作为观察组,并选择42例健康妊娠女性作为对照组,观察组开展LEEP术治疗。比较足月分娩率;22~24周宫颈平均长度;早产、自然流产的出现率。并比较新生儿女婴和男婴平均体质量。结果观察组患者足月分娩率和对照组相似,P>0.05。观察组足月分娩39例,占92.86%;对照组足月分娩39例,占92.86%。观察组22~24周宫颈平均长度(3.24±1.41)cm和对照组(3.18±1.12)cm相似,P>0.05。观察组早产、自然流产的出现率和对照组相似,P>0.05。其中,观察组早产有1例,自然流产2例,对照组早产有2例,自然流产1例。观察组新生儿女婴和男婴平均体质量和对照组相似,P>0.05。对照组女婴和男婴平均体质量分别是(3.12±0.24)kg、(3.31±0.22)kg,观察组女婴和男婴平均体质量分别是(3.11±0.24)kg、(3.32±0.21)kg。结论 LEEP术治疗宫颈癌前病变临床效果确切,且对产妇妊娠结局无不良影响,对新生儿无不良影响。

Objective To explore the effect of LEEP in the treatment of precancerous lesions of the cervix on pregnant women's pregnancy outcome.Methods 42 cases of pregnant women with cervical precancerous lesions from February 2016 to May 2017 were selected as the observation group,and 42 healthy pregnant women were selected as the control group.The observation group was treated with LEEP.The rate of full term delivery,the average length of the cervix in 22~24 weeks,the incidence of premature delivery and spontaneous abortion were compared.The average weight of newborns and boys was compared.Results The rate of full term delivery in the observation group was similar to that of the control group,P>0.05.39 cases of full term delivery in the observation group,accounting for 92.86%,39 cases of full term delivery in the control group,accounting for 92.86%.The average cervical length of 22~24 weeks in the observation group was(3.24±1.41)cm and(3.18±1.12)cm in the control group,P>0.05.The incidence of premature delivery and spontaneous abortion in the observation group was similar to that of the control group,P>0.05.Among them,there were 1 case of premature delivery in the observation group,2 cases of spontaneous abortion,2 cases in the control group and 1 case of spontaneous abortion.The average weight of newborn infants and boys in the observation group was similar to that of the control group,P>0.05.The average body weight of girls and boys in the control group were(3.12±0.24)kg、(3.31±0.22)kg,respectively.The average body weight of the female infants and the boys in the observation group were(3.11±0.24)kg、(3.32±0.21)kg respectively.Conclusion LEEP is effective in the treatment of cervical precancerous lesions,and has no significant adverse effects on the pregnancy outcome of pregnant women.It has no adverse effects on newborns.