摘要
目的:比较宫颈环形电切术与冷刀锥切术治疗宫颈癌前病变患者的效果。方法:回顾性分析2018年1月至2019年10月该院收治的85例宫颈癌前病变手术患者的临床资料,按不同手术方法分为电切组44例和锥切组41例。电切组行宫颈环形电切术治疗,锥切组行冷刀锥切术治疗,比较两组手术时间、术中出血量、切口愈合时间、疗效、并发症发生率和复发率。结果:电切组手术时间和切口愈合时间明显短于锥切组,术中出血量明显少于锥切组,差异有统计学意义(P<0.05);电切组并发症发生率为4.55%,明显低于锥切组的21.95%,差异有统计学意义(P<0.05);两组治愈率和术后12个月复发率比较,差异均无统计学意义(P>0.05)。结论:宫颈环形电切术治疗宫颈癌前病变患者可以缩短手术时间和切口愈合时间,减少术中出血量,以及降低并发症发生率,效果优于冷刀锥切术。
Objective:To compare effects of loop electrosurgical excision procedure and cold knife conization in treatment of patients with precancerous lesions of uterine cervix.Methods:A retrospective analysis of the clinical data of 85 patients precancerous lesions of uterine cervix admitted to the hospital from January 2018 to October 2019 was performed.According to the different surgical methods,they were divided into electric resection group(n=44)and conization group(n=41).The electric resection group was treated with loop electrosurgical excision procedure,while the conization group was treated with cold knife conization.The operation time,the intraoperative blood loss,the incision healing time,the efficacy,the complication rate and the recurrence rate were compared between the two groups.Results:The operation time and incision healing time of the electric resection group were significantly shorter than those of the conization group;the intraoperative blood loss volume was significantly less than that of the conization group;and the differences were statistically significant(P<0.05).The complication rate in the electrosurgical group was 4.55%,which was significantly lower than 21.95%in the conization group,and the difference was statistically significant(P<0.05).However,there were no statistically significant differences in the cure rate,and the recurrence rate 12 months after the surgery between the two groups(P>0.05).Conclusions:The loop electrosurgical excision procedure in the treatment of the patients with precancerous lesions of uterine cervix can shorten the operation time and the incision healing time,reduce the amount of intraoperative blood loss,and reduce the complication rate.Moreover,it is superior to cold knife conization.
作者
陈杰
CHEN Jie(Department of Gynecology of Pingqiao District Maternal and Child Health Hospital of Xinyang,Xinyang 464100 Henan,China)
出处
《中国民康医学》
2021年第14期121-123,共3页
Medical Journal of Chinese People’s Health
关键词
宫颈环形电切术
冷刀锥切术
宫颈癌前病变
出血量
并发症
Loop electrosurgical excision procedure
Cold knife conization
Precancerous lesion of uterine cervix
Bleeding volume
Complication
