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| Effects of Different Surgical Procedures for Early Cervical Cancer on Maternal and Infant Outcomes in Postoperative Pregnant Women |
| SHI Zi-yun, LI Lian-xiang, WANG Ai-ling, et al |
| Department of Obstetrics, Shaanxi People's Hospital, Xi 'an, Shaanxi 710068) |
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Abstract 【Objective】 To analyze the maternal and infant outcomes of early cervical cancer pregnant women with different surgical methods. 【Methods】Data of 125 cases of successful pregnancy after early cervical cancer surgery in our hospital from January 2015 to January 2017 were collected, among which 69 cases who underwent LEEP knife cervical electrotomy were set as the LEEP group. While 56 patients who underwent cervical coning resection were included in the coning resection group. Pregnancy outcome, delivery mode, maternal outcomes and neonatal complications were compared between the two groups. 【Results】The proportion of full term birth, preterm birth and abortion in the cervical coring resection group was 64.29%, 14.29% and 21.42%, respectively. While the full-term, preterm and abortion rate in the LEEP group was 66.67%, 14.29%, 18.84%, respectively. The difference was not statistically significant (P>0.05). The rates of postpartum hemorrhage, cervix laceration and total complications in the cervical coring resection group were 18.18%, 15.91% and 43.18%, respectively, which were higher than those of LEEP group 8.93%, 7.14% and 23.21%, respectively (P<0.05). The incidence of premature rupture of membranes, asphyxia and overall adverse outcomes of neonates in the cervical coning resection group was 18.18%, 20.45% and 52.27%,respectively,which was higher than those in the LEEP group 3.57%, 3.57% and 16.07%, respectively,. The difference was statistically significant differences (P<0.05). The cesarean section rate in the cervical coring resction group was 52.27%, which was significantly higher than the 32.15% in the LEEP group, and the difference was statistically significant (P<0.05). 【Conclusion】 LEEP knife electrocervix resection is superior to the cervical coning resection. It improves maternal and infant outcomes of early cervical cancer pregnant women with LEEP.
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Received: 12 March 2019
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2020, Vol. 37 
