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宫颈电环切除术和冷刀宫颈锥切术治疗宫颈上皮内瘤变的疗效比较 被引量:10

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摘要 目的比较宫颈电环切除术(LEEP)和冷刀宫颈锥切术治疗宫颈上皮内瘤变(CIN)的临床疗效。方法将200例CINⅡ-Ⅲ级患者随机分为2组:A组102例和B组98例。A组行LEEP,B组行冷刀宫颈锥切术。并观察2组手术时间、术中出血量、脱痂期出血量及切口愈合时间情况。结果A组(CINⅡ级、CINⅢ级)手术时间均短于B组(CINⅡ级、CINⅢ级),差异均有统计学意义(均P<0.05),A组(CINⅡ级、CINⅢ级)术中出血量均少于B组(CINⅡ级、CINⅢ级),差异均有统计学意义(均P<0.05)。A组(CINⅡ-Ⅲ级)和B组(CINⅡ-Ⅲ级)分别有7例(6.9%)和5例(5.1%)脱痂期出血量超过月经量,2组比较差异无统计学意义(P>0.05),A组(CINⅡ-Ⅲ级)切口愈合时间与B组(CINⅡ-Ⅲ级)比较差异无统计学意义(P>0.05)。结论LEEP用于治疗CINⅡ-Ⅲ级患者较冷刀宫颈锥切术出血少、手术时间短,是一种有效的治疗方法。
出处 《实用临床医学(江西)》 CAS 2009年第5期83-85,共3页 Practical Clinical Medicine
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