Onur GÜNALDI, Deniz KANBER ACAR, Alev GÜNALDI

“Loop electrosurgical excision procedure” erken doğum riskini artırır mı?

ÖZET Loop Electrosurgical Excision Procedure(LEEP) uygulamasının üreme çağındaki kadınlarda erken doğum riskini artırıp artırmadığını araştırmak. LEEP sonrası doğum yapan 51 kadın çalışma grubuna, geçirilmiş servikal cerrahi öyküsü olmayan ve kliniğimizde doğum yapan 60 kadın ise kontrol grubuna alındı. 111 kadının doğumdaki gebelik haftaları üç grupta toplandı; preterm (doğumdaki gebelik haftası 37 hafta altı), term (doğumdaki gebelik haftası 37 ile 42 hafta arası) ve post term (doğumdaki gebelik haftası 42 hafta ve üstü). Çalışma grubu ile kontrol grubu doğumdaki ortalama gebelik haftaları ve erken doğum oranları açısından karşılaştırıldı. Çalışma ve kontrol grubundaki kadınların doğumdaki gebelik haftaları 35 hafta 2 gün ile 42 hafta 4 gün arasında değişmekle birlikte ortalaması 39.03 ± 1.39’dur. Çalışma ve kontrol grubunun doğumdaki ortalama gebelik haftası sırasıyla; 38.97 ± 1.38 ve 39.08 ± 1.42’dir(p=0,684). Çalışma grubundaki olguların % 7.8’inde, kontrol grubundakilerin ise % 6.7’sinde preterm doğum gerçekleşmiştir(p=0,969). Hem doğumdaki ortalama gebelik haftaları hemde preterm doğum oranları açısından gruplar arasında anlamlı bir istatistiksel farklılık yoktur(p>0,05). LEEP uygulamasının, doğumdaki ortalama gebelik haftasını etkilemediği ve erken doğum riskini artırmadığı sonucuna varılmıştır.

Anahtar Kelimeler:

LEEP, loop elektrocerrahi eksizyon prosedürü

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