宫颈环形电切术与冷刀锥切术治疗宫颈上皮内瘤变患者的有效性及安全性比较  

Comparison of the efficacy and safety of cervical circular electrotomy and cold knife conectomy in the treatment of cervical intraepithelial neoplasia

作　　者：钱蝶 Qian Die(Department of Obstetrics and Gynecology,Changshu Guri People's Hospital,Changshu,215533,China)

机构地区：[1]常熟市古里人民医院妇产科,江苏常熟215533

出　　处：《实用妇科内分泌电子杂志》2024年第9期26-28,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨宫颈上皮内瘤变患者采用宫颈环形电切术(Leep)与冷刀锥切术(CKC)治疗的有效性及安全性。方法选取40例宫颈上皮内瘤变患者,根据手术方法不同分为A组(16例)与B组(24例)。A组患者行CKC治疗,B组患者行Leep治疗。比较两组的有效性、安全性及术中出血量。结果A组临床总有效率高B组,但比较差异无统计学意义(P>0.05)。B组并发症发生率为0%,低于A组的18.75%(P<0.05)。A组术中出血量多于B组(P<0.05)。结论Leep与CKC在治疗宫颈上皮内瘤变方面均可以取得较佳的治疗效果,但在并发症及术中出血方面,实施Leep治疗更具优势。Objective To investigate the efficacy and safety of cervical circular electrotomy(Leep)and cold knife conectomy(CkC)in the treatment of cervical intraepithelial neoplasia.Methods 40 patients with cervical intraepithelial neoplasia were selected and divided into group A(16 cases)and group B(24 cases)according to different surgical methods.Patients in group A received CKC and patients in group B received Leep.The efficacy,safety and intraoperative blood loss were compared between the two groups.Results The total clinical effective rate of group A was higher than that of group B,but there was no statistical significance(P>0.05).The incidence of complications in group B was 0%,lower than that in group A(18.75%)(P<0.05).The amount of blood loss in group A was higher than that in group B(P<0.05).Conclusion Both Leep and CKC can achieve better therapeutic effect in the treatment of cervical intraepithelial neoplasia,but Leep is more advantageous in the treatment of complications and intraoperative bleeding.

关 键 词：宫颈环形电切术 宫颈上皮内瘤变 冷刀锥切术 切口感染 宫颈粘连 

分 类 号：R737.33[医药卫生—肿瘤]