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宫颈环形电切术治疗宫颈癌前病变的临床效果 被引量:4

Clinical effect of loop electrosurgical excision procedure in the treatment of cervical precancerous lesion
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摘要 目的探讨宫颈环形电切术治疗宫颈癌前病变的临床效果。方法将80例宫颈癌前病变患者根据数字随机表法分为对照组与观察组,各40例。对照组采用宫颈冷刀锥切除术治疗,观察组采用宫颈环形电切术治疗。比较两组的临床效果。结果观察组的手术时间、术后住院时间均短于对照组,术中出血量少于对照组,切口深度小于对照组(P<0.05)。观察组的并发症总发生率、复发率均低于对照组(P<0.05)。观察组的γ干扰素、白介素-2水平均高于对照组,但白介素-4水平低于对照组(P<0.05)。结论宫颈环形电切术治疗宫颈癌前病变的效果显著,可降低并发症总发生率、术后复发率,值得临床推广应用。 Objective To explore the clinical effect of loop electrosurgical excision procedure in the treatment of cervical precancerous lesion.Methods A total of 80 patients with cervical precancerous lesion were divided into control group and observation group according to the digital random table method,with 40 cases in each group.The control group was treated with cervical cold knife conization,and the observation group was treated with loop electrosurgical excision procedure.The clinical effects of the two groups were compared.Results The operation time and postoperative hospital stay in the observation group were shorter than those in the control group,the intraoperative bleeding was less than that in the control group,and the incision depth was smaller than that in the control group(P<0.05).The total incidence of complications and recurrence rate in the observation group were lower than those in the control group(P<0.05).The levels ofγinterferon and interleukin-2 in the observation group were higher than those in the control group,but the level of interleukin-4 was lower than that in the control group(P<0.05).Conclusion The loop electrosurgical excision procedure in the treatment of cervical precancerous lesion has significant effect,it can reduce the total incidence of complications and postoperative recurrence rate,which is worthy of clinical promotion and application.
作者 吴欣荣 WU Xin-rong(Gynaecology Department,Zhongshan People's Hospital,Zhongshan 528400,China)
出处 《临床医学研究与实践》 2020年第20期85-86,共2页 Clinical Research and Practice
关键词 宫颈癌前病变 宫颈冷刀锥切除术 宫颈环形电切术 cervical precancerous lesion cervical cold knife conization loop electrosurgical excision procedure
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