摘要
目的 回顾性分析宫腔镜辅助下宫颈冷刀锥切术在宫颈高级别上皮内瘤变中的临床应用.方法 选取郑州市妇幼保健院2012年2月至2017年1月收治的因宫颈高级别上皮内瘤变进行宫颈冷刀锥切术患者60例,以2012年2月至2014年7月收治的患者为对照组,以2014年8月至2017年1月收治的为观察组,每组30例.对照组采取宫颈冷刀锥切术治疗,观察组采用宫腔镜辅助下宫颈冷刀锥切术治疗,观察并比较两组术后并发症发生情况.结果 观察组术中出血量少,手术时间短,术后月经异常、宫颈管粘连的发生率较低,差异有统计学意义（P〈0.05）;两组术后残留率、复发率比较差异未见统计学意义（P〉0.05）.结论 宫腔镜辅助下宫颈冷刀锥切术治疗宫颈高级别上皮内瘤变的效果较好,值得在临床上广泛应用.
Objective To retrospectively study and analyze the clinical application of hysteroscopy-assisted cold knife conization in the treatment of high-grade intraepithelial neoplasia . Methods Sixty patients who underwent cervical cold knife conization for high-grade intraepithelial neoplasia in Women＆Infants Hospital of Zhengzhou from February 2012 to January 2017 were selected , while patients who were treated from February 2012 to July 2014 were selected as control group , and paitents who were treated from August 2014 to January 2017 were selected as observation group , with 30 cases in each group .Patient in control group underwent cervical cold knife conization , while patients in observation group were treated by hysteroscopy-assisted cervical cold knife conization .The postoperative complications of the two groups were observed and compared .Results The observation group had less intraoperative blood loss , shorter operation time , lower incidence of abnormal menstruation and cervical adhesions（P〈0.05）;there was no significant difference in residual rate and recurrence rate between the two groups （ P〉0.05 ） .Conclusions The hysteroscopy-assisted cervical cold knife conization has better therapeutic effects on high-grade intraepithelial neoplasia , which can be widely applied in clinical .
作者
徐巍
Xu Wei(Department of Gynaecology,Women ＆ Infants Hospital of Zhengzhou,Zhengzhou 450007,China)
出处
《中国实用医刊》
2018年第19期64-65,68,共3页
Chinese Journal of Practical Medicine
关键词
宫腔镜
宫颈锥切术
高级别上皮内瘤变
Hysteroscopic
Cervical cold knife conization
High-grade intraepithelial neoplasia
