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目的探讨对宫颈上皮内瘤变患者行宫颈环切术对妊娠结局的影响。方法回顾性分析2001年5月～2010年4月对宫颈上皮内瘤变患者行宫颈环切术27例患者的妊娠结局。结果占同期宫颈环切术宫颈环切术手术的13.3%(27/203),患者年龄为23～40岁,中位年龄为30.3岁。27例中,10例因计划生育行人工流产术、1例异位妊娠、2例6～8周自然流产。14例足月分娩,其中阴道分娩9例,剖宫产5例。所有分娩孕妇的分娩孕周均大于38周,新生儿体重2905～4000g。新生儿1minApgar评分:9分2例;10分12例。无新生儿窒息。结论宫颈环切术是治疗宫颈上皮内瘤变的安全有效的方法。只要掌握手术指征和手术切除范围,对其后的妊娠生育是安全的。
Objective To investigate the effect of cervical circumcision on pregnancy outcome in patients with cervical intraepithelial neoplasia. Methods The pregnancy outcome of 27 patients with cervical intraepithelial neoplasia undergoing cervical circumcision was retrospectively analyzed from May 2001 to April 2010. Results Cervical resection of the cervix during the same period of 13.3% (27/203) of cervical surgery, the patient was 23 to 40 years old, the median age was 30.3 years. In 27 cases, 10 cases of artificial abortion due to family planning, 1 case of ectopic pregnancy, 2 cases of 6 to 8 weeks of spontaneous abortion. Fourteen cases of full-term delivery, including vaginal delivery in 9 cases, 5 cases of cesarean section. All childbirth pregnant women’s gestational age were greater than 38 weeks pregnant, neonatal weight 2905 ~ 4000g. Neonatal 1minApgar score: 9 points in 2 cases; 10 points in 12 cases. No neonatal asphyxia. Conclusion Cervical circumcision is a safe and effective method for the treatment of cervical intraepithelial neoplasia. As long as the surgical indications and surgical resection range, the subsequent pregnancy is safe.