Pregnancy outcome after treatment of cervical intraepithelial neoplasia by the loop electrosurgical excision procedure and cold knife conization

被引:1
作者
Michelin, M. A. [1 ]
Merino, L. M. [1 ]
Franco, C. A. [1 ]
Murta, E. F. C. [1 ]
机构
[1] Univ Fed Triangulo Mineiro, Res Inst Oncol IPON, Discipline Gynecol & Obstet, BR-38025440 Uberaba, MG, Brazil
关键词
Cervical intraepithelial neoplasia; Conization; Loop electrosurgical excision procedure; Pregnancy; outcome; SURGICAL MARGINS; CONE BIOPSY; DELIVERY; LESIONS; RISK;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of investigation: The aim of this study was to evaluate the effect of LEEP and cold-knife conization on the outcome of subsequent pregnancy in a tertiary public hospital. Methods: One hundred and ninety-nine patients met the inclusion criteria (age between 18 and 45 years old). Cold-knife conization, LEEP, and both (conization and LEEP) were performed in 102 (51.3%), 95 (47.7%) and two (1%) women, respectively. Average ages were respectively, 33 +/- 7.3; 25 +/- 6.73 and 30 +/- 2.8. Results: Pregnancies occurred 2.6 and 4.8 years after LEEP and conization, respectively. Miscarriages and preterm pregnancies were more frequent in conization cases versus LEEP, 26% and 5.2%, 23%, and 5.5%, respectively. Conclusion: If patients express a desire for pregnancy, LEEP should be the procedure of choice.
引用
收藏
页码:17 / 19
页数:3
相关论文
共 19 条
[1]   Pregnancy outcome after loop electrosurgical excision procedure for the management of cervical intraepithelial neoplasia [J].
Acharya G. ;
Kjeldberg I. ;
Hansen S.M. ;
Sørheim N. ;
Jacobsen B.K. ;
Maltau J.M. .
Archives of Gynecology and Obstetrics, 2005, 272 (2) :109-112
[2]   Loop electrosurgical excision procedure of the cervix and time of delivery in subsequent pregnancy [J].
Althuisius, SM ;
Schornagel, IJ ;
Dekker, GA ;
van Geijn, HP ;
Hummel, P .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2001, 72 (01) :31-34
[3]   Precancerous changes in the cervix and risk of subsequent preterm birth [J].
Bruinsma, F. ;
Lumley, J. ;
Tan, J. ;
Quinn, M. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (01) :70-80
[4]   Effect of cervical carcinoma in situ and its management on pregnancy outcome [J].
El-Bastawissi, AY ;
Becker, TM ;
Daling, JR .
OBSTETRICS AND GYNECOLOGY, 1999, 93 (02) :207-212
[5]   THE EFFECT OF CERVICAL LOOP ELECTROSURGICAL EXCISION ON SUBSEQUENT PREGNANCY OUTCOME - NORTH-AMERICAN EXPERIENCE [J].
FERENCZY, A ;
CHOUKROUN, D ;
FALCONE, T ;
FRANCO, E .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (04) :1246-1250
[6]   Pregnancy outcome after laser surgery for cervical intraepithelial neoplasia [J].
Forsmo, S ;
Hansen, MH ;
Jacobsen, BK ;
Oian, P .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1996, 75 (02) :139-143
[7]   THE OUTCOME OF PREGNANCY AFTER CO2-LASER CONIZATION OF THE CERVIX [J].
HAGEN, B ;
SKJELDESTAD, FE .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1993, 100 (08) :717-720
[8]   OUTCOME OF PREGNANCY AFTER CONE BIOPSY OF THE CERVIX - CASE-CONTROL STUDY [J].
JONES, JM ;
SWEETNAM, P ;
HIBBARD, BM .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1979, 86 (12) :913-916
[9]   CERVICAL CONIZATION AND PRETERM DELIVERY LOW-BIRTH-WEIGHT - A SYSTEMATIC REVIEW OF THE LITERATURE [J].
KRISTENSEN, J ;
LANGHOFFROOS, J ;
WITTRUP, M ;
BOCK, JE .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1993, 72 (08) :640-644
[10]   Obstetric outcomes after conservative treatment for intraepithelial or early invasive cervical lesions: systematic review and meta-analysis [J].
Kyrgiou, M ;
Koliopoulos, G ;
Martin-Hirsch, P ;
Arbyn, M ;
Prendiville, W ;
Paraskevaidis, E .
LANCET, 2006, 367 (9509) :489-498