冷刀宫颈锥切术后妊娠结局的分析.pdf

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1、࠶㊫ਧ˖R71ᆖṑԓ⸱˖10062ᇶ㓗˖ᆖਧ˖2010702173⺅༛ᆖս䇪᮷MASTER’SDISSERTATION䇪᮷仈ⴞ˖ߧ࠰ᇛ亸䭕࠷ᵟਾྺၐ㔃ተⲴ࠶᷀TITLETheanalysisofpregnancyoutcomeafterconizationofcervixtreatmentа㓗ᆖ、˖Ѥᒺ५ᆖҼ㓗ᆖ、˖ྷӗ、ᆖ䇪᮷֌㘵˖⦻⧕ᤷሬᮉᐸ˖ᴢ㢳㢳ѫԫ५ᐸཙ⍕५、བྷᆖ⹄ウ⭏䲒Ҽ噘аӄᒤӄᴸ࠶㊫ਧ˖R71ᆖṑԓ⸱˖10062ᇶ㓗˖ᆖਧ˖2010702173ᆖս㊫࡛˖、ᆖᆖս£уъᆖսRᆖ、䰘㊫˖५ᆖ⺅༛ᆖս䇪᮷MASTER’SDISSERTATION䇪᮷仈ⴞ˖ߧ࠰

2、ᇛ亸䭕࠷ᵟਾྺၐ㔃ተⲴ࠶᷀TITLETheanalysisofpregnancyoutcomeafterconizationofcervixtreatmentа㓗ᆖ、˖Ѥᒺ५ᆖҼ㓗ᆖ、˖ྷӗ、ᆖ䇪᮷֌㘵˖⦻⧕ᤷሬᮉᐸ˖ᴢ㢳㢳ѫԫ५ᐸཙ⍕५、བྷᆖ⹄ウ⭏䲒Ҽ噘аӄᒤӄᴸᆜփ䇰ᮽ৕ࡑᙝ༦᱄ᵜӪ䜁䟽༠᰾˖ᡰ੸ӔⲴ䇪᮷ᱟᡁњӪ൘ሬᐸᤷሬл⤜・䘋㹼⹄ウᐕ֌ਆᗇⲴ⹄ウᡀ᷌DŽ䲔Ҷ᮷ѝ⢩࡛࣐ԕḷ⌘ᕅ⭘Ⲵ޵ᇩ઼㠤䉒Ⲵൠᯩཆˈ䇪᮷ѝнवਜ਼ԫօަԆњӪᡆ䳶փᐢ㓿ਁ㺘ᡆ᫠߉䗷Ⲵ⹄ウᡀ᷌ˈоᡁа਼ᐕ֌Ⲵ਼ᘇሩᵜ⹄ウᡰڊⲴԫօ䍑⥞൷ᐢ൘䇪᮷ѝ֌Ҷ᰾⺞Ⲵ䈤᰾ᒦ㺘⽪Ҷ䉒᜿DŽᆖս䇪᮷֌㘵ㆮ਽˖ᰕᵏ˖ᒤᴸ

3、ᰕᆜփ䇰ᮽ⡾ᵹ⭞ᦾᵹҜᵜᆖս䇪᮷֌㘵ᆼޘҶ䀓ཙ⍕५、བྷᆖᴹޣ؍⮉ǃ⭘ᆖս䇪᮷Ⲵ㿴ᇊˈণ˖ᆖṑᴹᵳሶᆖս䇪᮷Ⲵޘ䜘ᡆ䜘࠶޵ᇩ㕆ޕᴹޣᮠᦞᓃ䘋㹼Ự㍒ˈᒦ䟷⭘ᖡঠǃ㕙ঠᡆᢛ᧿ㅹ༽ࡦ᡻⇥؍ᆈǃ≷㕆ԕ׋ḕ䰵઼ُ䰵DŽ਼᜿ᆖṑੁഭᇦᴹޣ䜘䰘ᡆᵪᶴ䘱Ӕ䇪᮷ˈᒦ㕆ޕᴹޣᮠᦞᓃDŽ؍ᇶˈ൘ᒤ䀓ᇶਾ䘲⭘ᵜᦸᵳҖDŽᵜ䇪᮷኎Ҿн؍ᇶDŽ˄䈧൘⴨ሩᓄⲴᯩṶ޵ᢃ¯řā˅ᆖս䇪᮷֌㘵ㆮ਽˖ᰕᵏ˖ᒤᴸᰕሬᐸㆮ਽˖ᰕᵏ˖ᒤᴸᰕཙ⍕५、བྷᆖ⺅༛ᆖս䇪᮷ѣᮽ᪎㾷ⴞⲴ˖ᵜ⹄ウⲴⴞⲴᱟ࠶᷀ߧ࠰ᇛ亸䭕࠷ᵟਾⲴྺၐ㔃ተDŽᯩ⌅˖䙊䗷എ亮ᙗ࠶᷀2007ᒤ1ᴸ-2012ᒤ12ᴸ78᧕ਇᇛ亸䭕࠷ᵟਾᴹྺၐ᜿ᝯᛓ㘵ⲴѤᒺ䍴ᯉˈᒦ

4、ԕ਼ᵏӗ、ቡ䇺ǃѤᒺ䍴ᯉ३䝽Ⲵᵚ㹼ᇛ亸䭕࠷ᵟⲴ㛢喴ྷྣ80֌Ѫሩ➗DŽᵜ⹄ウ㘳ሏⲴѫ㾱ᤷḷवᤜ˖1˅ྺၐ㔃ተ˖н䚯ᆅྺၐᰦ䰤ǃнᆅǃᰙᵏ⍱ӗǃᲊᵏ⍱ӗǃ亪ӗ৺ࢆᇛӗᶴᡀ∄˗2˅ӗ、㔃ተ˖䏣ᴸ࠶ၙǃᰙӗǃ㛾㟌ᰙ⹤ǃ㛾⭏䮯ਇ䲀৺ᐘབྷᶴᡀ∄DŽ㔃᷌˖᧕ਇCKC᡻ᵟᛓ㘵䱤䚃䮌⍫Ự⯵⨶㔃᷌˖CINI17ǃCINII21ԕ৺CINIII40DŽᵟਾ⯵⨶㔃᷌ᱮ⽪˖CINI13ˈо䱤䚃䮌⯵ਈCINIㅖਸ⦷Ѫ76.5%˗CINII16ˈо䱤䚃䮌⯵ਈCINIIㅖਸ⦷Ѫ76.2%˗CINIII36ˈо䱤䚃䮌⯵ਈCINIIIㅖਸ⦷Ѫ90.0%DŽ᡻ᵟਾ⯵⨶㔃᷌о䱤䚃䮌⍫Ự⯵⨶㔃᷌Ⲵᙫㅖਸ⦷Ѫ83.3

5、%DŽ᡻ᵟ㓴78ᛓ㘵ᴹ65ྺၐˈྺၐ⦷Ѫ83.33%˗ሩ➗㓴80㛢喴ྷྣᴹ72ྺၐˈྺၐ⦷Ѫ90.00%DŽє㓴⴨∄ᰐ㔏䇑ᆖᐞᔲ2˄χ=1.523ˈP=0.217˅ˈ䈤᰾CKC᡻ᵟнՊ䱽վᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷DŽሿ䭕࠷␡ᓖ㓴39ᛓ㘵ᴹ34ྺၐˈྺၐ⦷Ѫ87.18%˗བྷ䭕࠷␡ᓖ㓴39ᛓ㘵2ᴹ31ྺၐˈྺၐ⦷Ѫ79.49%DŽє㓴⴨∄ᰐ㔏䇑ᆖᐞᔲ˄χ=0.831ˈP=0.362˅ˈ䈤᰾н਼Ⲵ䭕࠷␡ᓖоᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷ᰐޣDŽሿ䭕࠷ઘ䮯㓴39ᛓ㘵ᴹ33ྺၐˈྺၐ⦷Ѫ84.62%˗བྷ䭕࠷ઘ䮯㓴39ᛓ㘵ᴹ32ྺၐˈྺၐ⦷2Ѫ82.05%DŽє㓴⴨∄ᰐ㔏䇑ᆖᐞᔲ˄χ=0.092ˈP=

6、0.761˅ˈ䈤᰾н਼Ⲵ䭕࠷ઘ䮯оᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷ᰐޣDŽ᡻ᵟ㓴78ᛓ㘵ၙࠪ㛾ᮠѪ56ˈঐ71.79%˗ሩ➗㓴80㛢喴ྷྣၙࠪ㛾ᮠѪ69ˈঐ86.25%DŽє㓴∄䖳ᴹ㔏䇑ᆖᐞᔲ2˄χ=4.994ˈP=0.025˅DŽ䈤᰾䭕࠷᡻ᵟՊ䱽վ࠶ၙ⦷DŽሿ䭕࠷␡ᓖ㓴39ᛓ㘵ၙࠪ㛾ᮠѪ33ˈঐ84.62%˗བྷ䭕࠷␡ᓖ㓴39ᛓ㘵ၙࠪ㛾ᮠѪ23ˈঐ58.97%DŽ2བྷ䭕࠷␡ᓖ㓴㛾ၙࠪ⦷ᱮ㪇վҾሿ䭕࠷␡ᓖ㓴˄χ=6.331ˈP=0.012˅DŽሿ䭕࠷ઘ䮯㓴39ᛓ㘵ၙࠪ㛾ᮠѪ33ˈঐ84.62%˗བྷ䭕࠷ઘ䮯㓴39ᛓ㘵ၙࠪ㛾ᮠѪ23ˈঐ58.97%DŽབྷ䭕࠷ઘ䮯㓴㛾ၙࠪ⦷ᱮ㪇վҾሿ䭕࠷ઘ䮯㓴2˄χ

7、=6.331ˈP=0.012˅DŽIཙ⍕५、བྷᆖ⺅༛ᆖս䇪᮷㔃䇪˖1.ߧ࠰ᇛ亸䭕࠷᡻ᵟнՊ䱽վᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷ˈնՊᔦ䮯н䚯ᆅਇᆅᰦ䰤DŽ2.н਼Ⲵ䭕࠷␡ᓖоᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷ᰐޣDŽн਼䭕࠷␡ᓖሩҾᔦ䮯ਇᆅᰦ䰤ᰐᐞᔲDŽ3.н਼Ⲵ䭕࠷ઘ䮯оᴹᘰᆅᝯᵋᛓ㘵Ⲵྺၐ⦷ᰐޣDŽн਼䭕࠷ઘ䮯ሩҾᔦ䮯ਇᆅᰦ䰤ᰐᐞᔲDŽ4.ߧ࠰ᇛ亸䭕࠷᡻ᵟՊ໎࣐ᰙᵏ⍱ӗ⦷ˈ䱽վ࠶ၙ⦷ˈᱮ㪇䱽վ㛾䏣ᴸ࠶ၙ⦷ˈᱮ㪇໎࣐ᰙӗ⦷৺㛾㟌ᰙ⹤ਁ⭏⦷DŽ5.ߧ࠰ᇛ亸䭕࠷᡻ᵟ䲿⵰䭕儈໎བྷˈሶ໎࣐ᰙӗ⦷৺㛾㟌ᰙ⹤ਁ⭏⦷ˈн໎࣐㛾⭏䮯ਇ䲀৺ᐘབྷⲴਁ⭏⦷DŽ6.ߧ࠰ᇛ亸䭕࠷᡻ᵟⲴ䭕࠷ઘ䮯໎བྷՊ䱽վ䏣ᴸ࠶ၙ