预置宫颈圈套线在宫颈电环切除术中的应用分析  

The Effect of Preset Cervical Trap Line in Cervical Electrical Loop Excision

作　　者：杨晓敏[1] 陶素萍[1] 游继红[1] 

机构地区：[1]浙江省嘉兴市第一医院,浙江嘉兴314001

出　　处：《实用妇产科杂志》2013年第4期299-301,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:评价预置宫颈圈套线暂时套扎宫颈组织在宫颈电环切除术(LEEP)的临床应用价值。方法:将48例需行LEEP患者随机分为实验组(22例)和对照组(26例)。实验组预置宫颈圈套线套扎宫颈后行LEEP,术后立即拆除套扎线;对照组常规行LEEP。观察比较两组手术时间、术中出血量、4周内术后出血率、术后宫颈黏膜外翻发生率。结果:两组手术时间(15.5分钟vs25.5分钟)、术中出血量(2.5ml vs 6.0ml)以及术后出血率(4.5%vs23.1%)比较,差异有统计学意义(P<0.05);但宫颈黏膜外翻发生率比较,差异无统计学意义(P>0.05)。48例患者除对照组3例术后发生黏膜外翻,其余均宫颈创面愈合良好。结论:宫颈圈套线套扎宫颈后行LEEP能减少术中出血量,缩短手术时间;术后出血患者少,宫颈创面愈合好。Objective：To study the clinical application value of preset cervical trap line in cervical electrical loop excision （LEEP）. Methods.48 cases needing LEEP were randomly divided into two groups：experimen- tal group：preseted of cervical trap line before LEEP, and dismantled immediately after the surgery in 22 ca- ses;control group：routine operation （LEEP） in 26 cases. The operation time, the blood loss, bleeding rate after operation 4 weeks,postoperative cervical mucosa eversion rate were observed and compared between the experimental group and control group differences. Results：There were significant differences between experimental group and control group in average operative time（15.5min vs 25.5min, respectively）, blood loss during the operation（2.5 ml vs 6.0 ml, respectively）, postoperative bleeding rate（4. 5% vs 23. 1%, respectively） （P 〈 0.05） , but there was no significant difference in cervical mucosal eversion between these two groups（P〉0.05）. Except for 4 cases in control group, the operation wound healed well in all the cases. Conclusions：The preset cervical trap line before LEEP can shorten operative time, decresa blood loss during and post operation, decrease the and obtain satisfactory surgical results without cervical mucosal eversion.

关 键 词：宫颈电环切除术 出血 宫颈黏膜外翻 圈套线套扎 

分 类 号：R713.43[医药卫生—妇产科学]