宫腔镜宫颈病变切除术与宫颈病变环形电切术治疗宫颈良性病变的比较  

Effects of TCRC and LEEP on cervical benign neoplasia

作　　者：邓元琪[1] 夏恩兰[1] 

机构地区：[1]首都医科大学附属复兴医院宫腔镜中心,北京100038

出　　处：《中国内镜杂志》2006年第12期1233-1235,1238,共4页China Journal of Endoscopy

摘　　要：目的探讨不同手术方式对宫颈良性疾病的疗效和预后。方法选择该院自2000年9月～2002年1月,采用宫颈病变环形电切术(loopelectro-suricalexcisionalprocedure,LEEP)和宫腔镜宫颈病变切除术(transcervicalresectionofcervicallesion,TCRC)两种方法分别对109例和203例宫颈良性病变患者进行治疗。结果两组术中出血量差异有显著性(P<0.001),TCRC较LEEP出血少,并发症轻;两组创面愈合时间差异无显著性(P=0.534>0.05);两组再手术率差异有显著性(P=0.0139<0.05),TCRC治疗宫颈病变彻底性优于LEEP;TCRC和LEEP对病理结果无影响。结论TCRC治疗宫颈良性疾病是一种值得广泛应用的手术方式。[Objective] To investigate the effect and prognosis of different operations on cervical benign neoplasia. [Methods] A total of 312 patients with cervical benign neoplasia, who treated in our hospital from September 2000 to January 2002, were divided into two groups：109 cases underwent loop eleetro-surieal exeisional procedure （LEEP）, and 203 eases underwent transcervieal resection of cervical lesion（TCBC）. [Results] The bleeding and eomplieation of the two groups during the operations were significandy different （P 〈0.001）, bleeding of TCRC group was less than LEEP group, and complication of TCRC group is lighter than LEEP group; the wound time of the two groups showed the same trend （P =0.534〉0.05）; the ration of the second operation of the two groups was obviously different, TCRC could more completely cure cervical benign neoplasia than LEEP did. Both TCRC and LEEP had no influence on the pathology. [Conclusions] TCRC is an operation, which Can be widely used for treatment of cervical benign neoplasia.

关 键 词：宫颈良性病变 宫颈病变环形电切术 宫腔镜宫颈病变切除术 

分 类 号：R711.74[医药卫生—妇产科学]