宫腔镜电切术在宫颈管赘生物治疗中的应用效果观察  

Effect observation of hysteroscopic electrotomy in the treatment of cervical neoplasm

作　　者：吴培凤 WU Pei-feng(Yishui County People's Hospital,Linyi 276400,China)

机构地区：[1]沂水县人民医院,276400

出　　处：《中国实用医药》2024年第6期25-28,共4页China Practical Medicine

摘　　要：目的 探究宫腔镜电切术在宫颈管赘生物治疗中的应用效果。方法 160例宫颈管赘生物患者,随机分为观察组与对照组,各80例。对照组接受经阴道宫颈管赘生物摘除术治疗,观察组采取宫腔镜下宫颈管赘生物电切术治疗。对比两组临床相关指标,术后月经正常、粘连、复发情况,术后疼痛评分,术后并发症发生情况。结果 观察组手术时间(45.42±5.54)min、下床活动时间(3.37±0.53)d、住院时间(5.25±1.67)d均较对照组的(65.72±8.58)min、(5.17±0.79)d、(10.48±1.89)d更短(P<0.05)。观察组术中出血量(20.46±4.25)ml较对照组的(37.82±5.57)ml更少(P<0.05)。观察组术后月经正常率为93.75%,较对照组的73.75%更高(P<0.05)。观察组术后粘连及术后复发率分别为0、0,较对照组的13.75%、12.50%更低(P<0.05)。观察组术后1、3、5 d疼痛评分分别为(3.48±0.43)、(1.35±0.24)、(0.56±0.12)分,均较对照组的(6.34±1.06)、(3.28±0.68)、(2.21±0.47)分低(P<0.05)。观察组并发症发生率6.25%低于对照组的20.00%(P<0.05)。结论 针对宫颈管赘生物患者采取宫腔镜电切术可缩短手术时间,降低术中出血量,加速患者术后康复进程,住院时间更短,可有效提升术后月经正常率,降低术后粘连率及复发率,并缓解患者术后疼痛,降低术后并发症发生风险。Objective To explore the effect of hysteroscopic electrotomy in the treatment of cervical neoplasm.Methods 160 patients with cervical neoplasm were randomly divided into an observation group and a control group,each with 80 cases.Patients in the control group were treated with transvaginal excision of cervical neoplasm,while patients in the observation group were treated with electrosurgical excision of cervical neoplasm under hysteroscope.The clinical related indexes,postoperative menstruation,adhesion,recurrence,postoperative pain score and postoperative complications were compared between the two groups.Results In the observation group,the operation time was(45.42±5.54)min,the time to ambulation was(3.37±0.53)d and the hospitalization time was(5.25±1.67)d,which were shorter than(65.72±8.58)min,(5.17±0.79)d and(10.48±1.89)d in the control group(P<0.05).The amount of intraoperative bleeding of(20.46±4.25)ml in the observation group was less than(37.82±5.57)ml in the control group(P<0.05).The normal menstruation rate in the observation group was 93.75%,which was higher than 73.75%in the control group(P<0.05).The postoperative adhesion rate and recurrence rate in the observation group were 0 and 0,which were lower than 13.75%and 12.50%in the control group(P<0.05).The pain scores of the observation group were(3.48±0.43),(1.35±0.24)and(0.56±0.12)points on day 1,3 and 5 after surgery,which were lower than(6.34±1.06),(3.28±0.68)and(2.21±0.47)points of the control group(P<0.05).The complication rate of the observation group was 6.25%,which was lower than 20.00%of the control group(P<0.05).Conclusion Hysteroscopic electrotomy for patients with vervical neoplasm can shorten the operation time,reduce the amount of intraoperative bleeding,accelerate the postoperative rehabilitation process of patients,and has shorter hospitalization time,which can effectively improve the normal menstruation rate,reduce the postoperative adhesion rate and recurrence rate,relieve the postoperative pain,and reduce the risk of po

关 键 词：宫颈管赘生物 宫腔镜电切术 月经正常 复发率 

分 类 号：R713.4[医药卫生—妇产科学]