宫颈环状电切术与宫颈冷刀锥切术在治疗宫颈鳞状上皮内病变中的临床对比观察  

Clinical Comparison of Cervical Circular Electric Resection and Cervical Cold Knife Cone Resection in Treating Cervical Squamous Intraepithelial Lesion

作　　者：陈玉玲 CHEN Yu-ling(Department of Gynecology,Tianjin Beichen Hospital,Tianjin 300400)

机构地区：[1]天津市北辰医院妇科

出　　处：《中国医疗器械信息》2020年第3期144-145,共2页China Medical Device Information

摘　　要：目的:探讨宫颈环状电切除术在治疗宫颈鳞状上皮内病变中的运用及对相关手术指标的影响。方法:收集本院诊断为宫颈癌前病变的120例患者,分为观察组和对照组,观察组给予宫颈环形电圈电切术,对照组给予宫颈冷刀锥切术。分析两组手术相关指标及预后。结果:观察组手术时间、出血量、切口愈合时间及手术费用低于对照组,结果比较有差异(P<0.05);观察组术后切缘干净人数高于对照组,结果比较有差异(P<0.05);观察组和对照组患者均顺利接受手术,观察组术后出现2例创面出血,对照组出现1例出血,1例宫颈管狭窄粘连,两组并发症发生率结果比较无差异(P>0.05)。结论:宫颈环状电切除术对治疗宫颈上皮内瘤样病变创伤小,术后随访提示手术安全性好,切缘干净。Objective:To explore the application of circular excision of the cervix in the treatment of cervical squamous intraepithelial lesions and the effect on the relevant surgical indicators.Methods:120 patients diagnosed as precancerous lesion of cervical cancer in our hospital were collected and divided into study group and control group.The indexes and prognosis of the two groups were analyzed.Results:The operation time,bleeding volume,wound healing time and operation cost of the study group were lower than that of the control group,with differences(P<0.05).The number of patients in the study group with clean incised edges was higher than that in the control group(P<0.05).The patients in the study group and the control group received the surgery successfully,and there were 2 cases of wound bleeding in the study group,1 case of bleeding in the control group,and 1 case of cervical stenosis and adhesion.There was no difference in the incidence of complications between the two groups(P>0.05).Conclusion:The circular excision of the cervix is less traumatic for the treatment of cervical intraepithelial neoplasia.

关 键 词：宫颈环状电切除术 宫颈鳞状上皮内病变 宫颈冷刀锥切 

分 类 号：R713.44[医药卫生—妇产科学]