中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
4期
634-635,646
,共3页
宫颈环形电切术%妊娠%宫颈狭窄%宫颈机能
宮頸環形電切術%妊娠%宮頸狹窄%宮頸機能
궁경배형전절술%임신%궁경협착%궁경궤능
loop electrosurgical excisional procedure (LEEP)%pregnancy%cervical stenosis%cervical function
目的：探讨宫颈环形电切（ LEEP）术对分娩期宫颈机能的影响。方法将204例女性分为观察组和对照组，观察组LEEP术中宫颈切除深度为10～20mm，对照组LEEP术中宫颈切除深度为21～25mm，比较两组术后的随访结果。结果观察组术后出血量、手术时间、术后出血情况、术后感染皆与对照组无显著性差异（ P＞0．05）。术后1月、2月时，观察组宫颈修复情况优于对照组（χ2值分别为0．542、10．264，均P＜0．05）。观察组术后宫颈狭窄情况轻于对照组（χ2＝15．711，P＜0．01）。术后1年分娩时，观察组宫颈裂伤、宫颈机能不全发生率低于对照组（χ2值分别为6．423、6．655，均P＜0．05）。结论 LEEP术中宫颈切除深度对女性术后宫颈修复、宫颈狭窄的发病率、分娩时宫颈裂伤、宫颈机能不全的发生率影响较大，而20 mm以下的切除深度对女性术后宫颈生理及机能的影响较小。
目的：探討宮頸環形電切（ LEEP）術對分娩期宮頸機能的影響。方法將204例女性分為觀察組和對照組，觀察組LEEP術中宮頸切除深度為10～20mm，對照組LEEP術中宮頸切除深度為21～25mm，比較兩組術後的隨訪結果。結果觀察組術後齣血量、手術時間、術後齣血情況、術後感染皆與對照組無顯著性差異（ P＞0．05）。術後1月、2月時，觀察組宮頸脩複情況優于對照組（χ2值分彆為0．542、10．264，均P＜0．05）。觀察組術後宮頸狹窄情況輕于對照組（χ2＝15．711，P＜0．01）。術後1年分娩時，觀察組宮頸裂傷、宮頸機能不全髮生率低于對照組（χ2值分彆為6．423、6．655，均P＜0．05）。結論 LEEP術中宮頸切除深度對女性術後宮頸脩複、宮頸狹窄的髮病率、分娩時宮頸裂傷、宮頸機能不全的髮生率影響較大，而20 mm以下的切除深度對女性術後宮頸生理及機能的影響較小。
목적：탐토궁경배형전절（ LEEP）술대분면기궁경궤능적영향。방법장204례녀성분위관찰조화대조조，관찰조LEEP술중궁경절제심도위10～20mm，대조조LEEP술중궁경절제심도위21～25mm，비교량조술후적수방결과。결과관찰조술후출혈량、수술시간、술후출혈정황、술후감염개여대조조무현저성차이（ P＞0．05）。술후1월、2월시，관찰조궁경수복정황우우대조조（χ2치분별위0．542、10．264，균P＜0．05）。관찰조술후궁경협착정황경우대조조（χ2＝15．711，P＜0．01）。술후1년분면시，관찰조궁경렬상、궁경궤능불전발생솔저우대조조（χ2치분별위6．423、6．655，균P＜0．05）。결론 LEEP술중궁경절제심도대녀성술후궁경수복、궁경협착적발병솔、분면시궁경렬상、궁경궤능불전적발생솔영향교대，이20 mm이하적절제심도대녀성술후궁경생리급궤능적영향교소。
Objective To study the influence of loop electrosurgical excisional procedure (LEEP) on cervical function during delivery . Methods Totally 204 women were divided into observation group and control group .The observation group accepted LEEP with cervical resection depth of 10-20mm, and the control group accepted LEEP with cervical resection depth of 21-25mm.Postoperative follow-up results of two groups were compared .Results Postoperative blood loss , operative time, postoperative bleeding and postoperative infection of the observation group were not significantly different from those of the control group (P>0.05).The cervical repair of the observation group was obviously better than the control group in postoperative 1 month and 2 months (χ2 value was 0.542 and 10.264, respectively, both P<0.05).Postoperative cervical stenosis was obviously mild in the observation group when compared with the control group (χ2 =15.711,P<0.01).The incidence of cervical laceration and cervical incompetence of mothers was significantly lower in the observation group than in the control group at intrapartum 1 year after surgery (χ2 value was 6.423 and 6.655, respectively, both P <0.05). Conclusion Depth of intraoperative cervical excision in LEEP has great influence on postoperative cervical repair , incidence of cervical stenosis, cervical laceration at childbirth and cervical incompetence of women , but there is little effect on cervical physiology and function with cervical resection depth of less than 20mm.
