宫腔镜电切术与宫颈环形电切术治疗宫颈良性病变临床对比分析  

Comparative Analysis of Transcervical Resection( TCRC) and Loop Electrosurgical Excision( LEEP) in the Treatment of Cervical Lesions

作　　者：马哲[1] 

机构地区：[1]北华大学附属医院,吉林吉林132011

出　　处：《北华大学学报（自然科学版）》2015年第1期79-81,共3页Journal of Beihua University（Natural Science）

基　　金：吉林市科技发展计划项目(201339007)

摘　　要：目的比较宫腔镜电切术与宫颈环形电切术在治疗宫颈病变中的临床疗效.方法将宫颈病变的60例患者随机分为两组,分别采用宫腔镜电切术(TCRC)治疗30例,宫颈环形电切术(LEEP)治疗30例.结果 TCRC组治疗出血量明显少于LEEP组,TCRC术后出血及阴道排液时间少于LEEP组,两者手术时间及术后治愈率无明显差异.结论宫腔镜电切术在治疗宫颈病变方面能够直视创面,定位准确,止血彻底,不损伤宫颈管黏膜,术后恢复快,并发症少,尤其在宫颈深部病变和炎性增生组织的治疗优于宫颈环形电切,值得在临床广泛开展.Objective To compare clinical effects of transcervical resection （ TCRC ） and loop electrosurgical excision（ LEEP ） on the treatment of cervical lesions. Method Sixty cases of cervical lesions were randomly divided into TCRC group and LEEP group with 30 cases in each group. Results The operative bleeding amount in TCRC group was significantly lower than that in LEEP group. The time of postoperative bleeding and vaginal drainage in TCRC were less than that in LEEP group. There was no significant difference between the two groups in operation time and cure rate. Conclusion TCRC is characterized by visualization, accuracy, thorough bleeding,harmlessness,rapid recovery with less complications,advantage in the treatment of deep cervical lesions and inflammatory hyperplasia tissue. Therefore,TCRC is superior to LEEP,and is worthy of promoting.

关 键 词：宫腔镜电切术 宫颈环形电切 宫颈良性病变 

分 类 号：R711[医药卫生—妇产科学]