LEEP刀治疗宫颈病变的疗效观察及护理  

LEEP Knife Efficacy of Treatment of Cervical Lesions and Care

作　　者：李玉春[1] 纪燕琴[1] 欧阳秀珍[1] 

机构地区：[1]广东省惠州市中心人民医院妇科,惠州516001

出　　处：《航空航天医学杂志》2011年第11期1312-1314,共3页Journal of Aerospace medicine

摘　　要：目的:研究超高频电波刀(LEEP刀)治疗各种宫颈疾病(包括宫颈糜烂、宫颈息肉、宫颈湿疣、子宫颈上皮内瘤病变、宫颈肥大等)的临床疗效以及术后最佳护理措施。方法:选择2009-01～2010-12于我院就诊,并明确诊断患有宫颈疾病的患者302例,其中宫颈湿疣16例,宫颈肥大31例,宫颈上皮样瘤变(即CIN)49例,宫颈息肉105例,宫颈糜烂101例,根据术中情况给予LEEP刀环切或锥切术治疗,并切除病理组织送活检。同时记录手术时间,观察患者的一般情况及伤口出血情况,并给予积极合理的护理措施,观察患者的预后情况。结果:本组302例患者,手术时间最长为9 min,最短为4 min,平均时间为6.2 min,术中出血量最多为16 mL,最少约4 mL,平均10.2 mL,临床上给予积极、合理、耐心的护理措施,及时止血,注重伤口卫生,防止感染,患者局部症状均有所好转。出院后2月,护理人员以电话采访形式进行随访,302例患者均成功治愈,无特殊不适。结论:LEEP刀使用方便简单,手术时间短,安全系数高,术中危险性较小,术后不良情况较少,费用较低,配合护理人员积极、合理、耐心的护理,对于多种宫颈病变有显著临床疗效,术中可随时选取标本进行活检,可以早期发现宫颈癌,具有重要的临床价值。Objective：To study the ultra-high frequency radiosurgical knife（LEEP knife） treatment of cervical disease（including Cervical erosion,cervical polyps,cervical warts,cervical intraepithelial neoplasia lesions,cervical hypertrophy,etc.） the best clinical efficacy and postoperative care measures.Methods：From January 2009 to December 2010 in our hospital and diagnosed with cervical disease in patients with 302 cases of which 16 cases of cervical condyloma,cervical hypertrophy,31 cases of cervical epithelial neoplasia（ie CIN） 49 cases,105 cases of cervical polyps,cervical erosion,101 cases according to intraoperative conditions given LEEP or cone knife circumcision resection,and excision biopsy tissue sent to pathology.At the same time record the operative time,observe the general condition of patients and wound bleeding,and to give reasonable care and measures to actively observe the patient′s prognosis.Results：The group of 302 cases of patients,surgery for a maximum of nine minutes,a minimum of 4 minutes,average time of 6.2 minutes,blood loss up to 16 mL,at least about 4 mL,an average of 10.2 mL,given a positive clinical,rational,patient care measures,bleeding time,pay attention to wound hygiene to prevent infection,patients with local symptoms were the better.2 months after discharge,nursing staff in the form of follow-up telephone interview,302 patients were successfully treated,no special discomfort.Conclusions：LEEP knife easy to use simple,short operation time,high safety factor,the smaller the risk of surgery,fewer postoperative adverse conditions,lower cost,with the nursing staff positive,reasonable,patient care,for a variety of cervical lesions significant clinical efficacy,intraoperative biopsy specimens can be selected at any time,early detection of cervical cancer has important clinical value.

关 键 词：LEEP刀 宫颈病变 疗效 护理 

分 类 号：R473.71[医药卫生—护理学]