Klein M, Rosen A, Vavra N, Gitsch G, Beck A
Geburtshilflich-gynäkologische Abteilung, Hanusch-Krankenhaus, Wien.
Geburtshilfe Frauenheilkd. 1991 Dec;51(12):990-2. doi: 10.1055/s-2008-1026250.
The influence of cold knife conisation on further progression of pregnancy was analysed in 28 patients, who underwent the operation during pregnancy. 13 women were operated on within the first 16 weeks of gestation (group I) and were compared to 15 patients, where conisation was done in the 17th week or later (group II). In the first group, deliveries were found in the 39th week of pregnancy compared to 34 weeks in the second group (p.05). A statistical significant difference concerning the further duration of pregnancy after conisation was found: 25 weeks in group I vs. 11 weeks in group II (p. 0012). There was no difference, however, in radicality whether conisation was done in early or late pregnancy. Our final conclusion is, that a preterm delivery occurs significantly more often in women who underwent conisation after 16th week of gestation.
对28例孕期接受冷刀锥切术的患者分析了该手术对妊娠进一步进展的影响。13名女性在妊娠的前16周内接受手术（第一组），并与15名在第17周或更晚进行锥切术的患者（第二组）进行比较。第一组在妊娠第39周分娩，而第二组为第34周（p<0.05）。发现锥切术后妊娠的进一步持续时间存在统计学显著差异：第一组为25周，第二组为11周（p = 0.0012）。然而，妊娠早期或晚期进行锥切术在切除范围上没有差异。我们的最终结论是，妊娠16周后接受锥切术的女性发生早产的频率明显更高。
