Factors Affecting Obstetric Outcomes in Patients Who Underwent Cold-Knife and Loop Electrosurgical Excision Procedure Conization Due to CIN 2 or CIN 3.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY Journal of the Turkish German Gynecological Association Pub Date : 2023-12-08 DOI:10.4274/jtgga.galenos.2023.2023-1-15

Mehmet Obut, Can Tekin İskender, Aykut Kından, Özge Yücel Çelik, Mevlüt Bucak, Fulya Kayıkçıoğlu, Betül Tokgöz Çakır, Sevgi Koç, Caner Çakır, Şevki Çelen, Ali Turhan Çağlar, Yaprak Engin Üstün

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Abstract

Objective: To determine factors affecting obstetric outcomes in pregnancies after conization by loop electrosurgical excision procedure (LEEP) or cold-knife conization (CKC) due to cervical intraepithelial neoplasia (CIN).

Material and methods: The maternal and clinical characteristics and obstetric outcomes of CKC, LEEP and control groups were evaluated and compared. Risk factors for adverse pregnancy outcomes were evaluated using multiple logistic regression analyses.

Results: The incidence of preterm delivery, PPROM, low APGAR scores, fetal mortality, and late-period spontaneous abortus was highest in patients who underwent CKC (p<0.05). Cone depth of CKC was longer than LEEP (p=0.025). Cervical length (CL) at pregnancy was CKC

Conclusion: Compared with CKC, LEEP has shorter cone depth and fewer adverse pregnancy outcomes. The t-CP<14 months was a risk for preterm delivery and <15 months was a risk for PPROM. CL at pregnancy <31 mm was a risk for preterm delivery and <32 mm was a risk for PPROM.

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影响因 CIN 2 或 CIN 3 而接受冷刀和环形电切术锥切术的患者产科结果的因素。

目的确定影响因宫颈上皮内瘤变（CIN）而进行环形电切术（LEEP）或冷刀锥切术（CKC）后妊娠的产科结果的因素：对CKC组、LEEP组和对照组的产妇特征、临床特征和产科结果进行评估和比较。采用多重逻辑回归分析评估了不良妊娠结局的风险因素：结果：接受 CKC 的患者早产、PPROM、低 APGAR 评分、胎儿死亡和晚期自然流产的发生率最高（pConclusion）：与 CKC 相比，LEEP 的锥体深度更短，不良妊娠结局更少。t-CP

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来源期刊

Journal of the Turkish German Gynecological Association OBSTETRICS & GYNECOLOGY-

CiteScore

2.40

自引率

7.10%

发文量

期刊介绍： Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.