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作 者:芦军军 张兴娟 Lu Junjun;Zhang Xingjuan(Department of Obstetrics and Gynecology,Baoshihua Changqing Hospital,Xi‘an 710201,China)
机构地区:[1]西安宝石花长庆医院妇产科,陕西西安710201
出 处:《当代医药论丛》2020年第12期38-40,共3页
摘 要:目的:分析用LEEP刀宫颈锥切术治疗宫颈原位癌的疗效。方法:选择2015年8月至2018年8月西安宝石花长庆医院收治的宫颈原位癌患者60例作为研究对象。采用随机数表法将其分为子宫全切组与LEEP刀锥切组,每组各30例患者。为子宫全切组患者采用腹腔镜下子宫全切术进行治疗,为LEEP刀锥切组患者采用LEEP刀宫颈锥切术进行治疗。然后对比两组患者手术的时间、术中的失血量、住院的时间和1年生存率。结果:1)与子宫全切组患者相比,LEEP刀锥切组患者手术的时间、住院的时间均更短,其术中的失血量更少,P<0.05。2)治疗后,两组患者的1年生存率相比,P>0.05。结论:用LEEP刀宫颈锥切术治疗宫颈原位癌可取得较好的疗效,具有手术的时间短、患者术中的失血量少、术后恢复快等优点。Objective:To analyze the efficacy of LEEP knife coning in the treatment of cervical carcinoma in situ.Methods:From August 2015 to August 2018,60 patients with carcinoma in situ of the cervix admitted to Changqing Hospital of Baoshihua in Xi‘an were selected as study subjects.They were divided into total hysterectomy group and LEEP knife conical incision group by random number table method,with 30 patients in each group.Patients in the total hysterectomy group were treated with laparoscopic total hysterectomy,and patients in the LEEP knife coning group were treated with LEEP knife cervical coning.The duration of surgery,intraoperative blood loss,length of hospital stay,and 1-year survival were compared between the two groups.Results:1)Compared with patients in the total hysterectomy group,patients in the LEEP knife conical incision group had shorter operation time,shorter hospitalization time,and less intraoperative blood loss(P<0.05).2)after treatment,the 1-year survival rate of the two groups was P>0.05.Conclusion:The treatment of carcinoma in situ of the cervix with LEEP knife coning has the advantages of short operation time,less intraoperative blood loss and quick postoperative recovery.
关 键 词:LEEP刀宫颈锥切术 子宫全切术 宫颈原位癌
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