中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
6期
52-54
,共3页
LEEP刀宫颈锥形切术%妊娠并发症%分娩方式
LEEP刀宮頸錐形切術%妊娠併髮癥%分娩方式
LEEP도궁경추형절술%임신병발증%분면방식
LEEP knife conization%Pregnancy complications%Delivery mode
目的 探讨LEEP刀宫颈锥切术后妊娠并发症与分娩方式.方法 选择2008年7月1日至2013年6月31日交口县人民医院妇产科住院分娩妊娠前因宫颈上皮内瘤样病变行LEEP刀宫颈锥切术后的孕妇168例为观察组,随机选择同期未行LEEP刀宫颈锥切术的住院分娩孕妇960例为对照组,比较两组妊娠并发症、分娩方式.结果 观察组剖宫产率为59.76％,产钳助产率为15.85％,明显高于对照组,观察组自然分娩率为24.39％,明显低于对照组,差异有统计学意义(P＜0.01),除社会因素剖宫产指征,观察组剖宫产率为31.71％,对照组为29.58％,两组比较差异无统计学意义(P＞ 0.05).观察组胎儿窘迫发生率为19.05％,胎膜早破发生率为22.63％,早产发生率为19.64％,宫颈裂伤率为0.00％,与对照组比较差异无统计学意义(P＞0.05).结论 LEEP刀宫颈锥切术后增加早产、胎膜早破等的发生,去除社会因素并没有增加剖宫产率、宫颈子宫下段裂伤率.
目的 探討LEEP刀宮頸錐切術後妊娠併髮癥與分娩方式.方法 選擇2008年7月1日至2013年6月31日交口縣人民醫院婦產科住院分娩妊娠前因宮頸上皮內瘤樣病變行LEEP刀宮頸錐切術後的孕婦168例為觀察組,隨機選擇同期未行LEEP刀宮頸錐切術的住院分娩孕婦960例為對照組,比較兩組妊娠併髮癥、分娩方式.結果 觀察組剖宮產率為59.76％,產鉗助產率為15.85％,明顯高于對照組,觀察組自然分娩率為24.39％,明顯低于對照組,差異有統計學意義(P＜0.01),除社會因素剖宮產指徵,觀察組剖宮產率為31.71％,對照組為29.58％,兩組比較差異無統計學意義(P＞ 0.05).觀察組胎兒窘迫髮生率為19.05％,胎膜早破髮生率為22.63％,早產髮生率為19.64％,宮頸裂傷率為0.00％,與對照組比較差異無統計學意義(P＞0.05).結論 LEEP刀宮頸錐切術後增加早產、胎膜早破等的髮生,去除社會因素併沒有增加剖宮產率、宮頸子宮下段裂傷率.
목적 탐토LEEP도궁경추절술후임신병발증여분면방식.방법 선택2008년7월1일지2013년6월31일교구현인민의원부산과주원분면임신전인궁경상피내류양병변행LEEP도궁경추절술후적잉부168례위관찰조,수궤선택동기미행LEEP도궁경추절술적주원분면잉부960례위대조조,비교량조임신병발증、분면방식.결과 관찰조부궁산솔위59.76％,산겸조산솔위15.85％,명현고우대조조,관찰조자연분면솔위24.39％,명현저우대조조,차이유통계학의의(P＜0.01),제사회인소부궁산지정,관찰조부궁산솔위31.71％,대조조위29.58％,량조비교차이무통계학의의(P＞ 0.05).관찰조태인군박발생솔위19.05％,태막조파발생솔위22.63％,조산발생솔위19.64％,궁경렬상솔위0.00％,여대조조비교차이무통계학의의(P＞0.05).결론 LEEP도궁경추절술후증가조산、태막조파등적발생,거제사회인소병몰유증가부궁산솔、궁경자궁하단렬상솔.
Objective To investigate the LEEP knife conization pregnancy complications and delivery mode.Methods One hundred and sixty-eight cases from July 1st,2008 to June 31th,2013 in people' s hospital Jiaokou who were scheduled for cervical intraepithelial neoplasia LEEP knife conization were chose as the observation group,960 cases without LEEP knife conization were chose as control group,the pregnancy complications and delivery mode were compared between the two groups.Results In the observation group,the rate of cesarean section was 59.76％,forceps delivery rate was 15.85％,they were significantly higher than those in the control group,the natural childbirth rate was 24.39％,which significantly lower than that in the control group,the difference was statistically significant (P ＜ 0.01),after the removal of social factors of cesarean section indications,in the observation group the cesarean section rate was 31.71％,in control group,that was 29.58％,there was no significant difference between the two groups(P ＞0.05),the fetal distress rate was 19.05％,the incidence was 22.63％,the incidence of preterm was 19.64％,cervical laceration was 0％.Compared with the control group,there was no significant difference(P ＞ 0.05).Conclusions LEEP knife conization can increase preterm delivery and premature rupture of membranes,with the removal of the social factors,the rate of cesarean section wasn' t increased,and the lower uterine segment laceration of cervix wasn' t increased either.
