阴道镜检查联合LEEP术治疗宫颈CIN的疗效观察  

Observation on the Efficacy of Colposcopy Combined with LEEP Surgery in the Treatment of Cervical CIN

作　　者：王思 WANG Si(Obstetrics and Gynecology Department of Xiangcheng District Maternal and Child Health Hospital,Zhangzhou City,Fujian Zhangzhou 363000)

机构地区：[1]漳州市芗城区妇幼保健院妇保科,福建漳州363000

出　　处：《中国医疗器械信息》2024年第2期52-54,共3页China Medical Device Information

摘　　要：目的:观察分析宫颈上皮内瘤变患者接受阴道镜检查与宫颈环形电切术治疗的临床效果。方法:选取2021年8月~2022年8月本院收治的宫颈上皮内瘤变患者72例,依照手术方式的不同,将36例纳入参照组,执行常规手术治疗方案,其余36例患者归入实验组,执行阴道镜检查与宫颈环形电切术治疗方案,对两组的治疗结果对比分析。结果:实验组的术中出血量、手术时间、住院时间、切口愈合时间、术后的血清鳞状上皮细胞癌抗原和人可溶性白细胞抗原G、术后并发症发生率、术后6个月内复发率均显著低于参照组(P<0.05)。结论:在宫颈上皮内瘤变治疗中,运用阴道镜检查与宫颈环形电切术,能够达到理想的治疗效果,改善患者血清鳞状上皮细胞癌抗原、人可溶性白细胞抗原G指标水平,降低术后并发症与复发的概率。Objective:To observe and analyze the clinical effects of colposcopy examination and cervical circular resection surgery on patients with cervical intraepithelial neoplasia.Methods:A total of 72 patients with cervical intraepithelial neoplasia admitted to our hospital were selected,with a time distribution range of August 2021 to August 2022.According to different surgical methods,36 patients were included in the reference group and routine surgical treatment plans were performed.The remaining 36 patients were included in the experimental group and underwent colposcopy and cervical circular resection treatment plans.The treatment results of the two groups were compared and analyzed.Results:The recorded intraoperative bleeding volume,surgical time,hospitalization time,incision healing time,postoperative serum squamous cell carcinoma antigen and human soluble leukocyte antigen G,postoperative complication rate,and recurrence rate within 6 months in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion:In the treatment of cervical intraepithelial neoplasia,the use of colposcopy and cervical circular resection can achieve ideal therapeutic effects,improve the serum levels of squamous cell carcinoma antigen and soluble white blood cell antigen G in patients,reduce the probability of postoperative complications and recurrence.

关 键 词：阴道镜 宫颈环形电切术 宫颈上皮内瘤变 临床效果 

分 类 号：R737.33[医药卫生—肿瘤]