Analysis of pregnancy outcomes after secondary cervical conization or radical trachelectomy and transvaginal cervical cerclage
Aim:To investigate pregnancy outcomes after secondary cervical conization or radical trachelectomy and transvaginal cervical cerclage.Methods:A total of 26 singleton patients who underwent secondary cervical conization or rad-ical trachelectomy and transraginal cervical cerclage in the First Affiliated Hospital of Zhengzhou University from September 2012 to December 2022 were selected,and their perinatal outcomes were analyzed.Results:All the 26 patients underwent successful operation,and no one was converted to laparotomy.There were 11 pregnancies,out of which,6 were delivered by cesarean at full term,2 were premature birth,and 3 were miscarriages.There was no significant difference in age,blood loss,resection volume,or conization height between the non-pregnant group and the pregnant group(P>0.05).The full-term birth rate of patients with the resection volume>4 cm3(1/3)was lower than that(5/8)of the patients with≤4 cm3.The full-term birth rate of patients with pregnancy interval≤12 months(1/4)was less than that(5/7)of the patients with>12 months.Conclusion:Reducing the resection volume and delaying pregnancy after surgery can improve the perinatal out-comes after secondary cervical conization or radical trachelectomy.
万方数据
维普
