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随着宫颈病变的年轻化以及宫颈环形电切除术的广泛开展,妊娠期行宫颈环形电切除术的安全性及对妊娠结局的影响成为医患双方共同关注的焦点。妊娠期宫颈病变有较小的恶化趋势,妊娠期可予随访,定期行细胞学及阴道镜检查,于产后6周复查,根据病理结果按宫颈病变妇科治疗原则处理。宫颈癌前病变及原位癌的稳定状态与分娩方式无关,分娩方式的选择取决于产科指征,无特殊指征的患者仍提倡阴道分娩。宫颈环形电切除术对妊娠结局的影响尚有争议,须进一步大样本研究证实。
With the younger cervical lesions and extensive resection of cervical loop resection, the safety of cervical ring resection during pregnancy and the impact on pregnancy outcome have become the focus of both doctors and patients. Cervical lesions during pregnancy with smaller deterioration trend may be followed up during pregnancy, regular cytology and colposcopy in postpartum 6 weeks review, according to the results of the treatment of cervical lesions according to the principle of gynecological treatment. Cervical precancerous lesions and orthotopic carcinoma of the stable state has nothing to do with the mode of delivery, choice of mode of delivery depends on obstetric indications, patients without special indications still advocate vaginal delivery. Cervical ring resection of the outcome of pregnancy is still controversial, to be further confirmed by large sample studies.