冷刀锥切缝合术的临床应用  

Clinical application of“Four-Point”suture in cervical cold knife conization

作　　者：龚花兰[1] 周海珍[1] 阳清秀[1] 巫新春[1] 

机构地区：[1]桂林市灵川县人民医院妇科,广西桂林541299

出　　处：《华夏医学》2014年第1期120-122,共3页Acta Medicinae Sinica

摘　　要：目的:评价不同的宫颈冷刀锥切缝合术治疗宫颈上皮内瘤变Ⅲ级的临床效果。方法:92例确诊为宫颈上皮内瘤变Ⅲ级的患者,随机选取46例作研究组,施行宫颈冷刀锥切术,采用4点缝合法;另外46例作对照组,施行宫颈冷刀锥切术,采用连续而简单的褥式传统缝合法,比较不同缝合方法的临床疗效。结果:研究组和对照组缝合时间分别为(35±10)min和(45±30)min,术中出血量分别为(42±20)ml和(65±40)ml,术后住院天数分别为(1.5±1.8)d和(3.8±2.4)d,差异均有统计学意义(P<0.01);两组术后阴道流血时间分别为(2.8±0.5)d和(3.6±0.3)d,差异无统计学意义(P>0.05);两组均无复发、感染等并发症出现。结论:宫颈冷刀锥切术后4点缝合法的效果明显优于传统的褥式缝合法。Objects： To study the clinical effect of ＂Four-Point＂ suture used for cervical cold knife conization in treating cervical intraepithelial neoplasia （CIN） grade Ⅲ. Methods： 92 cases with CIN Ⅲ were randomly assigned to two groups. After cervical cold knife conization, the observation group （46 cases） received ＂Four-Point＂ sutures, whereas the traditional Mattress suture was used in control group （46 cases）. Clinical curative effect was compared between the two groups. Resuits： There was statistically significant between ＂Four-Point＂ suture and traditional Mattress suture, reduction in mean suture time （35±10）minutes vs （45±30）minutes（P〈0.01）, amount of bleeding （ 42±20）ml and （65±40）ml（P〈0.01） and length of hospital stay （1. 5±1.8）d and （3.8±2.4）d（P〈0.01）. However, There was not Ⅲ , no recurrence and infection were observed. Conclusion： After cervical cold knife conization, ＂Four-Point＂ suture should be superior to traditional Mattress sutures.

关 键 词：宫颈冷刀锥切术 宫颈上皮内瘤变Ⅲ级 4点缝合法 

分 类 号：R713.4[医药卫生—妇产科学]