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[锥切术后的生育能力与妊娠]

[Fertility and pregnancy after conization].

作者信息

Kalitsaris A, Paschopoulos M, Paraskevaidis E, Dalkalitsis N, Tsanadis G, Adonakis G, Lolis D

机构信息

Ospedale Accademico San Bonifatius (EMS), Lingen, Germania Federale.

出版信息

Ann Ostet Ginecol Med Perinat. 1991 Jul-Aug;112(4):257-61.

PMID:1807189
Abstract

Conization is frequently used as a diagnostic and curative method for the prevention of the cervical cancer on women of the fertile age. Conization was performed on 408 women up to 40 years in our Clinics during the years 1967 to 1989. The percentage of attested postoperative pregnancies among these women amounts to 13.51% and declines with age; it is high among women up to 25 years of age (29%) and low (3%) among women between 36 and 40 years. The percentage with premature births before the operation was 15.25%; after the operation the percentage declined to 13.31%. Preventive cerclage was used on one part (8.1%) of the latter percentage and no cerclage on the remaining 5.4%. It is concluded that there is not high danger of premature birth after conization and therefore performance of the operation does not seem to necessitate preventive cerclage.

摘要

宫颈锥切术常用于育龄期女性宫颈癌的诊断和治疗。1967年至1989年期间,我们诊所对408名40岁以下女性进行了宫颈锥切术。这些女性术后证实怀孕的比例为13.51%,且随年龄下降;25岁以下女性的比例较高(29%),36至40岁女性的比例较低(3%)。术前早产的比例为15.25%;术后该比例降至13.31%。后一比例中有一部分(8.1%)采用了预防性宫颈环扎术,其余5.4%未进行环扎术。结论是,宫颈锥切术后早产风险不高,因此该手术似乎无需进行预防性宫颈环扎术。

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