"Loop electrosurgical excision procedure" erken dog?um riskini artırır mı

OZET Loop Electrosurgical Excision Procedure(LEEP) uygulamasinin ureme cagindaki kadinlarda erken dogum riskini artirip artirmadigini arastirmak. LEEP sonrasi dogum yapan 51 kadin calisma grubuna, gecirilmis servikal cerrahi oykusu olmayan ve klinigimizde dogum yapan 60 kadin ise kontrol grubuna alindi. 111 kadinin dogumdaki gebelik haftalari uc grupta toplandi; preterm (dogumdaki gebelik haftasi 37 hafta alti), term (dogumdaki gebelik haftasi 37 ile 42 hafta arasi) ve post term (dogumdaki gebelik haftasi 42 hafta ve ustu). Calisma grubu ile kontrol grubu dogumdaki ortalama gebelik haftalari ve erken dogum oranlari acisindan karsilastirildi. Calisma ve kontrol grubundaki kadinlarin dogumdaki gebelik haftalari 35 hafta 2 gun ile 42 hafta 4 gun arasinda degismekle birlikte ortalamasi 39.03 ± 1.39’dur. Calisma ve kontrol grubunun dogumdaki ortalama gebelik haftasi sirasiyla; 38.97 ± 1.38 ve 39.08 ± 1.42’dir(p=0,684). Calisma grubundaki olgularin % 7.8’inde, kontrol grubundakilerin ise % 6.7’sinde preterm dogum gerceklesmistir(p=0,969). Hem dogumdaki ortalama gebelik haftalari hemde preterm dogum oranlari acisindan gruplar arasinda anlamli bir istatistiksel farklilik yoktur(p>0,05). LEEP uygulamasinin, dogumdaki ortalama gebelik haftasini etkilemedigi ve erken dogum riskini artirmadigi sonucuna varilmistir. SUMMARY To investigate whether Loop Electrosurgical Excision Procedure(LEEP) application increases the risk of premature birth in women of reproductive age. 51 women who gave birth after LEEP were taken to study group and 60 women who had no history of previous cervical surgery and gave birth in our clinic were included in the control group. The gestational age of 111 women were gathered in three groups; preterm (gestational age at birth less than 37 weeks), term (gestational age at birth between 37-42 weeks) and post term (gestational age at birth 42 weeks and above). The study group and the control group were compared in terms of medial gestational age at birth and premature birth delivery rates. The medial gestational age of the women in the study and control groups ranged from 35 weeks and 2 days to 42 weeks and 4 days and the average is 39.03 ± 1.39. The medial gestational age at birth of the study and control group is as follows; 38.97± 1.38 and 39.08 ± 1.42(p=0,684). Preterm birth was observed in 7.8% of the cases in the study group and 6.7% in the control group(p=0,969). No significant statistical difference is observed between the groups in terms of both the medial gestational age and the preterm birth rates(p>0,05). It was concluded that the LEEP application does not affect the medial gestational age and does not increase the risk of premature birth.