宫颈环形电切术史对妊娠分娩方式及妊娠结局的影响

Effect of History of Cervical Ring Electrotomy on Pregnancy Delivery and Pregnancy Outcome

目的分析宫颈环形电切术(LEEP)史对妊娠分娩方式及妊娠结局的影响。方法选取2015年4月-2018年3月妇产科接受LEEP术后成功妊娠并分娩的46例产妇作为实验对象,另随机选取同期正常健康产妇46例作为对照组,根比较两组患者妊娠分娩方式、妊娠结局以及新生儿Apgar评分。结果对照组患者阴道分娩41例(89.13%)显著高于观察组阴道分娩29例(63.04%),差异均具有统计学意义(χ~2=8.60,P<0.05)。观察组的妊娠分娩患者早产和流产要多于对照组,足月分娩例数少于对照组,但两组间比较,差异均无统计学意义(P>0.05)。观察组新生儿Apgar评分为8.78±1.13,对照组新生儿Apgar评分为9.06±0.77,两组间比较,差异无显著性意义(t=1.386,P<0.05)。结论宫颈LEEP术后对产妇的妊娠分娩方式有明显影响,但妊娠结局和新生儿影响不大。

Objective To analyze the effect of history of cervical ring electrosurgery(LEEP) on pregnancy delivery and pregnancy outcomes. Methods Methods From April 2015 to March 1818, 46 women who underwent successful pregnancy and delivery after LEEP in our hospital were selected as the experimental subjects. 46 normal healthy women were randomly selected as the control group. Pregnancy delivery methods, pregnancy outcomes, and neonatal Apgar scores. Conclusion Cervical circumcision in patients with cervical squamous intraepithelial lesions can significantly improve clinical efficacy, reduce the incidence of complications, and can significantly improve pregnancy delivery methods and pregnancy outcomes, which is worthy of clinical promotion.Results In the control group, 41 cases(89.13%) of vaginal delivery were significantly higher than 29 cases(63.04%) of vaginal delivery in the observation group. The difference was statistically significant(χ~2=8.60, P<0.05). Premature delivery and abortion were more common in the observation group than in the control group. The number of full-term delivery was less than that in the control group, but there was no significant difference between the two groups(P>0.05). The Apgar score of the neonates in the observation group was 8.78±1.13, and that in the control group was 9.06±0.77. There was no significant difference between the two groups(t=1.386, P<0.05).Conclusions Cervical LEEP has a significant effect on maternal pregnancy delivery, but the pregnancy outcome and neonatal influence are not significant.