宫颈锥切术治疗宫颈癌前病变的疗效分析  

Curative effect analysis of cervical conization in the treatment of cervical precancerous lesions

作　　者：吕云 Lv Yun(Department of Obstetrics and Gynecology,Suqian First People's Hospital,Suqian 223800,China)

机构地区：[1]宿迁市第一人民医院妇产科,江苏宿迁223800

出　　处：《实用妇科内分泌电子杂志》2022年第7期25-27,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨宫颈癌前病变行宫颈锥切术治疗的效果。方法选取78例宫颈癌前病变患者,按照随机数字表法分为研究组与对照组,各39例。研究组行宫颈锥切术治疗,对照组行激光烧灼术治疗。比较两组围术期指标、并发症发生情况、复发率及生活质量。结果研究组手术出血量明显少于对照组,手术时间及术后阴道出血时间均短于对照组,差异具有统计学意义(P<0.05)。研究组术后并发症发生率、复发率为5.13%、2.56%,均低于对照组的20,51%.15.38%,差异具有统计学意义(P<0.05)。治疗前,两组生活质量比较,差异无统计学意义(P>0.05);治疗后,研究组生活质量低于对照组,差异具有统计学意义(P<0.05)。结论宫颈锥切术治疗宫颈癌前病变可降低手术风险,降低并发症发生率及复发率,提高生活质量,值得临床推广与应用。Objective To investigate the effect of cervical conization in the treatment of cervical precancerous lesions.Methods 78 patients with cervical precancerous lesions were selected and divided into the study group and the control group according to the random number table method,39 cases in each group.The study group was treated with cervical conization,and the control group was treated with laser cauterization.The perioperative indicators,complications,recurrence rate and quality of life were compared between the two groups.Results The operation blood loss in the study group was significantly less than that in the control group,and the operation time and postoperative vaginal bleeding time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications and recurrence rate in the study group were 5.13% and 2.56%,which were lower than 20.51% and 15.38% in the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in quality of life between the two groups(P>0.05).After treatment,the quality of life in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Cervical conization in the treatment of cervical precancerous lesions can reduce the risk of surgery,reduce the incidence of complications and recurrence,and improve the quality of life,which is worthy of clinical promotion and application.

关 键 词：宫颈癌前病变 宫颈锥切术 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]