宫颈锥切与根治性子宫颈切除治疗宫颈原位癌及对患者复发率影响分析  

Cervical Conization and Radical Cervix Resection for the Treatment of Cervical Carcinoma in Situ and the Analysis of Its Influence on the Recurrence Rate of Patients

作　　者：高咏梅 GAO Yongmei(Department of Obstetrics and Gynecology,Seventh People's Hospital of Zibo,Zibo,Shandong Province,255040 China)

机构地区：[1]淄博市第七人民医院妇产科,山东淄博255040

出　　处：《世界复合医学》2021年第9期102-105,共4页World Journal of Complex Medicine

摘　　要：目的探究将宫颈锥切与根治性子宫颈切除术应用于宫颈原位癌患者治疗中的效果,探究其临床可用价值。方法将2017年9月—2019年6月该院中存在资料登记的患者的一般资料进行统计分析,录入其中符合要求的72例患者作为研究对象,随机均分为两组,每组36例,记名为对照组与研究组。对照组患者在进行治疗时选择宫颈锥切手术进行治疗,研究组患者则在治疗时选择根治性子宫颈切除手术,对两组患者的治疗总有效率以及伤口愈合时间和疼痛程度等数据进行记录。结果该研究中对照组患者总有效率为72.22%,相较于研究组的94.44%来说明显更低,差异有统计学意义(χ^(2)=6.400,P<0.05);而在研究结果中,发现研究组患者在治疗后的伤口愈合时间以及疼痛程度等相关指标明显优于对照组,各数据对比差异有统计学意义(P<0.05);两组患者在治疗完成后均有不同程度的复发情况,研究组患者的复发率为8.33%,低于对照组的30.56%,差异有统计学意义(χ^(2)=5.675,P<0.05)。结论根治性子宫颈切除术配合盆腔淋巴结切除应用于宫颈原位癌的治疗中,能够获得较为良好的效果,对于提高患者的康复治疗效果意义重大,同时还能显著减轻患者的疼痛感,缩短恢复时间和住院时间,对于患者的病情恢复以及治疗体验提升来说有积极意义,值得推广。Objective To explore the effect of cervical conization and radical hysterectomy in the treatment of cervical carcinoma in situ,and explore its clinical value.Methods From September 2017 to June 2019,the general data of the patients registered in the hospital were statistically analyzed,and 72 patients who met the requirements were entered as the research objects,and they were randomly divided into two groups,36 cases in each group.Named the control group and the study group.Patients in the control group chose cervical conization during treatment,and patients in the study group chose radical cervical resection during treatment.The total effective rate of treatment,wound healing time and pain degree of the two groups were recorded.Results In the study,the total effective rate of patients in the control group was 72.22%,which was significantly lower than the 94.44%in the study group.The difference was statistically significant(χ^(2)=6.400,P<0.05);in the study results,it was found that the study group The wound healing time and pain degree of the patients after treatment were significantly better than those of the control group,and the difference between the data was statistically significant(P<0.05);the two groups of patients had different degrees of recurrence after the completion of the treatment.The recurrence rate of patients in the study group was 8.33%,which was lower than 30.56%in the control group.The differ ence was statistically significant(χ^(2)=5.675,P<0.05).Conclusion Radical hysterectomy combined with pelvic lymphadenectomy in the treatment of cervical carcinoma in situ can achieve good results,which is of great significance to improve the rehabilitation treatment effect of patients.At the same time,it can significantly reduce the pain of patients,shorten the recovery time and hospitalization time,which is of positive significance to the recovery of patients'condition and the improvement of treatment experience,it is worth promoting.

关 键 词：宫颈锥切术 宫颈原位癌 临床分析 治疗方案 

分 类 号：R737.33[医药卫生—肿瘤]