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宫颈锥切术与早产风险。

Cervical conization and the risk of preterm delivery.

机构信息

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Am J Obstet Gynecol. 2011 Jul;205(1):19-27. doi: 10.1016/j.ajog.2011.01.003. Epub 2011 Feb 23.

Abstract

The current body of literature concerning cervical conization and its effect on subsequent pregnancy outcome is conflicting. Depending on the type of conization procedure that is examined and the quality of the control group, the results and conclusions vary widely. Because treatment for cervical intraepithelial neoplasia is commonplace among women of reproductive age, it is imperative that practitioners have an understanding of the issues surrounding the treatment. Therefore, this review will summarize the published literature that addresses excisional procedures of the uterine cervix and the risk of preterm delivery in subsequent pregnancies and provide reasonable treatment recommendations for women with cervical abnormalities and a desire for future fertility.

摘要

目前有关宫颈锥切术及其对后续妊娠结局影响的文献存在争议。取决于所检查的锥切术类型和对照组的质量,结果和结论差异很大。由于宫颈上皮内瘤变的治疗在育龄妇女中很常见,因此从业者必须了解围绕治疗的问题。因此,本综述将总结已发表的文献,这些文献涉及子宫颈的切除术以及随后妊娠早产的风险,并为有宫颈异常且希望未来生育的女性提供合理的治疗建议。

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