宫颈Leep术后妊娠产程及结局的分析

【摘要】目的探讨宫颈电环切除（Leep）术后对妊娠产程及结局的影响。方法总结2009年1月～2011年12月曾在本院行Leep术后妊娠的孕妇34例为观察组．随机抽取同期本院分娩且孕前未行任何宫颈手术的产妇68例作为对照组，对其临床资料进行分析，观察两组的妊娠产程及妊娠结局。结果Leep组第一产程潜伏期延长、活跃期延长、第二产程延长、胎膜早破、宫颈裂伤、流产、早产、阴道分娩、剖宫产的发生率与对照组比较，差异无统计学意义（P〉0．05）。结论宫颈电环切除（Leep）术是治疗慢性宫颈炎及宫颈上皮内瘤样病变安全有效的方法，只要掌握手术指征、范同有技巧，不影响妊娠的产程，也不影响妊娠的结局，建议手术后间隔时间大于12个月后妊娠。

Analysis of pregnancy labor and outcome after cervical Leep surgery

Objective To discuss about the effects laid by cervical Leep surgery to pregnancy labor and outcome. Methods Thirty-four cases of pregnant women after cervical leep surgery in our hospital during January 2009 to December 2011 were chosen as observation group, and 68 pregnant women without any experience of cervical operations were randomly chosen as control group in the same period in our hospital. The clinical data of observe group and control group were analyzed and labor and outcome of these two groups were measured. Results None statistically significant differences existed in items as the incidence of prolonged latency of first stage of labor, active extension, prolonged second stage of labor, premature rupture of membranes, cervical laceration, miscarriage, premature labor, vaginal delivery and cesarean sectidn between observation group and control group （P 〉 0.05）. Conclusion Cervical Leep surgery is a safe approach to treat chronic cervicitis and cervical intraepithelial neoplasialike lesions. As long as doctors are familiar with surgical indications and skillfully deal with ranges, it won＇t affect labor or outcome of pregnancy. Intervals between surgery and pregnancy should be longer than 12 months.