宫颈电环切除术与射频消融术治疗持续性宫颈CINⅠ的效果比较研究  

A Comparative Study on the Effects of Electrocervical Resection and Radiofrequency Ablation on Persistent Cervical CINⅠ

作　　者：杨晓璐 YANG Xiao-lu(Linyi Maternal and Child Health Hospital,Linyi,Shandong Province,276000 China)

机构地区：[1]临沂市妇幼保健院,山东临沂276000

出　　处：《世界复合医学》2020年第6期7-9,共3页World Journal of Complex Medicine

摘　　要：目的以持续性宫颈上皮内瘤变I级(持续性宫颈CINⅠ级)患者为例,对宫颈电环切除术与射频消融术在其中的治疗效果进行对比评价。方法该次以该院2018年2月—2019年1月收治的持续性宫颈CIN I级患者100例作为研究对象,随机成两组,对照组给予射频消融术治疗,观察组给予宫颈电环切除术治疗,对两组手术治疗效果进行对比评价。结果两组手术时间比较差异无统计学意义(P>0.05),观察组为(13.6±2.4)min,对照组为(13.8±2.2)min,观察组术中出血量的(7.1±1.3)mL明显少于对照组的(11.6±1.4)mL(t=5.256,P<0.05),阴道排液时间(6.29±1.34)d明显短于对照组(15.89±5.13)d,两组之间差异有统计学意义(t=9.283,P<0.05)。观察组治愈率为92.00%,和对照组的90.00%比较差异无统计学意义(χ^2=1.729,P>0.05);观察组复发率为2.00%,和对照组的14.00%比较明显更低(χ^2=9.285,P<0.05);观察组病变持续率为4.00%,和对照组的6.00%比较差异无统计学意义(χ^2=1.728,P>0.05)。两组术后并发症发生率均偏低,对比差异无统计学意义(χ^2=1.728,P>0.05)。结论在临床中,针对持续性宫颈CIN I级患者,给予宫颈电环切除术与射频消融术治疗均具备明显的疗效;但宫颈电环切除术的出血量更少,阴道排液时间更短,复发率更低,因此可将宫颈电环切除术作为首选术式。Objective To take patients with persistent cervical intraepithelial neoplasia class I(persistent cervical CIN class I)as an example to compare the therapeutic effect of electrosurgical cervical resection and radiofrequency ablation.Methods This time,100 patients with persistent cervical CIN I treated in our hospital from February 2018 to January 2019 were taken as the research object.They were randomly divided into two groups,the control group was given radiofrequency ablation treatment,and the observation group was given cervical cervix resection.Surgical treatment,comparative evaluation of the surgical treatment effect of the two groups.Results There was no statistically significant difference in operation time between the two groups.The observation group was(13.6±2.4)min,the control group was(13.8±2.2)min,and the intraoperative blood loss(7.1±1.3)mL in the observation group was significantly less than the control group(11.6±1.4)mL(t=5.256,P<0.05),vaginal drainage time(6.29±1.34)d was significantly shorter than the control group(15.89±5.13)d(t=9.283,P<0.05),there were significant statistical differences between the two groups.The cure rate of the observation group was 92.00%,and there was no statistically statistically significant difference compared with 90.00%of the control group(χ^2=1.729,P>0.05);the recurrence rate of the observation group was 2.00%,which was significantly lower than 14.00%of the control group(χ^2=9.285,P<0.05);the lesion persistence rate in the observation group was 4.00%,and there was no statistically significant difference compared with 6.00%in the control group(χ^2=1.728,P>0.05).The incidence of postoperative complications was low in both groups,and there was no statistically significant difference in comparison(χ^2=1.728,P>0.05).Conclusion In clinical,for patients with persistent cervical CIN I,the treatment of cervical circumcision and radiofrequency ablation has obvious effects;but the cervical circumcision has less bleeding and shorter vaginal drainage time.The recurrence

关 键 词：持续性宫颈CINⅠ级 宫颈电环切除术 治疗效果 

分 类 号：R271.1[医药卫生—中医妇科学]