中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
66-67
,共2页
宫颈锥切术%育龄妇女%妊娠
宮頸錐切術%育齡婦女%妊娠
궁경추절술%육령부녀%임신
Cervical conization%Women of childbearing age%Pregnancy
目的：观察宫颈锥切术对育龄妇女妊娠结局的影响。方法：收治宫颈上皮内瘤变或原位癌实施宫颈锥切术后成功妊娠的患者32例为观察组。随机选择同期妇产科年龄＜40岁无宫颈锥切术史产妇30例作对照组。结果：观察组实施宫颈锥切术与妊娠的间隔时间＜1年的产妇9例，＞1年24例。观察组自然分娩率显著低于对照组(25.00% VS 53.33%，P＜0.05)。观察组和对照组平均分娩孕周分别是37.6周和39.1周，差异无统计学意义(P＞0.05)。平均产程两组相比差异无统计学意义[(492±114)min VS (523±109)min，P＞0.05]。观察组早期流产2例、早产5例，对照组无早期流产发生，仅有1例早产，两组相比差异有统计学意义(P＜0.05)。两组胎儿窘迫、胎膜早破、低体重等差异均无统计学意义(P＞0.05)。结论：宫颈锥切术后育龄妇女妊娠后自然顺产率低于未手术者，但其妊娠结局无明显影响，值得临床应用。
目的：觀察宮頸錐切術對育齡婦女妊娠結跼的影響。方法：收治宮頸上皮內瘤變或原位癌實施宮頸錐切術後成功妊娠的患者32例為觀察組。隨機選擇同期婦產科年齡＜40歲無宮頸錐切術史產婦30例作對照組。結果：觀察組實施宮頸錐切術與妊娠的間隔時間＜1年的產婦9例，＞1年24例。觀察組自然分娩率顯著低于對照組(25.00% VS 53.33%，P＜0.05)。觀察組和對照組平均分娩孕週分彆是37.6週和39.1週，差異無統計學意義(P＞0.05)。平均產程兩組相比差異無統計學意義[(492±114)min VS (523±109)min，P＞0.05]。觀察組早期流產2例、早產5例，對照組無早期流產髮生，僅有1例早產，兩組相比差異有統計學意義(P＜0.05)。兩組胎兒窘迫、胎膜早破、低體重等差異均無統計學意義(P＞0.05)。結論：宮頸錐切術後育齡婦女妊娠後自然順產率低于未手術者，但其妊娠結跼無明顯影響，值得臨床應用。
목적：관찰궁경추절술대육령부녀임신결국적영향。방법：수치궁경상피내류변혹원위암실시궁경추절술후성공임신적환자32례위관찰조。수궤선택동기부산과년령＜40세무궁경추절술사산부30례작대조조。결과：관찰조실시궁경추절술여임신적간격시간＜1년적산부9례，＞1년24례。관찰조자연분면솔현저저우대조조(25.00% VS 53.33%，P＜0.05)。관찰조화대조조평균분면잉주분별시37.6주화39.1주，차이무통계학의의(P＞0.05)。평균산정량조상비차이무통계학의의[(492±114)min VS (523±109)min，P＞0.05]。관찰조조기유산2례、조산5례，대조조무조기유산발생，부유1례조산，량조상비차이유통계학의의(P＜0.05)。량조태인군박、태막조파、저체중등차이균무통계학의의(P＞0.05)。결론：궁경추절술후육령부녀임신후자연순산솔저우미수술자，단기임신결국무명현영향，치득림상응용。
Objective:To observe the influence of cervical conization pregnancy outcomes of women of childbearing age.Methods:32 patients with cervical intraepithelial neoplasia or in situ carcinoma in pregnancy after cervical conization were selected as the observation group.At the same time,30 patients less than 40 years of age without cervical conization history puerpera were selected as the control group in obstetrics and gynecology department.Results:In the observation group,the interval time berween cervical conization and pregnancy of 9 cases was less than 1 year,and 24 cases were more than 1 year.In the observation group,the natural childbirth rate was significantly lower than that of the control group(25% VS 53.33%,P<0.05).The average gestational age of the observation group and the control group was respectively 37.6 and 39.1 weeks,and there was no significant difference(P>0.05).The average birth process of the two groups were compared,and there was no significant difference[(492± 114)min VS (523±109)min,P>0.05].In the observation group,2 cases had early abortion,and 5 cases had premature labor;in the control group,there was no early abortion,and only 1 case had premature delivery;the difference was statistically significant(P<0.05).Fetal distress,preterm premature rupture of membranes,low body weight of the two groups were not statistically different(P>0.05).Conclusion:The natural birth rate of pregnancy women after cervical conization was lower than that without surgery,but other pregnancy outcome was no obvious difference.It was worthy of clinical application.
