宫颈病变患者采用阴道镜活检结合高频电刀治疗的可行性分析  

Feasibility Analysis of Using Colposcopy Biopsy Combined with High-Frequency Electric Knife Treatment for Patients with Cervical Lesions

作　　者：曹艳艳 CAO Yan-yan(Department of Obstetrics and Gynecology,Ningdu County Maternal and Child Health Hospital,Jiangxi Ganzhou 342800)

机构地区：[1]宁都县妇幼保健院妇产科,江西赣州342800

出　　处：《中国医疗器械信息》2024年第18期80-82,共3页China Medical Device Information

摘　　要：目的:分析宫颈病变患者应用阴道活检结合高频电刀治疗的临床可行性与有效性。方法:选取2022年1月~2024年1月本院收治的60例宫颈病变患者为观察对象,全部患者均采取阴道活检结合高频电刀诊断治疗,观察该方案的诊断效能、手术与治疗信息、手术治疗效果以及手术应激。结果:60例患者中术前阴道镜检检测结果与术后病理学检测结果一致的有57例,占比95.00%,两种诊断检查结果差异无统计学意义(P>0.05);60例患者手术持续时间(18.28±3.28)min,术中出血量(13.58±3.25)mL,宫颈修复时间(35.67±5.85)d;60例患者,在术后1月复诊,45例患者未见宫颈异常,患者自述无相关症状,生活未见影响,完全治愈,14例患者宫颈未见异常,仍有轻微不适,有效治疗,仅1例患者存在生理不适,经检查其宫颈恢复缓慢;较术前,术后患者的IL-6、TNF-α、CRP均显著升高,IL-10显著降低,差异有统计学意义(P<0.05)。结论:宫颈病变患者应用阴道活检结合高频电刀诊断治疗方案,准确率高,可精确检出宫颈病变类型,且手术效果好、损伤小,可快速完成。Objective:To analyze the clinical feasibility and effectiveness of vaginal biopsy combined with high-frequency electric knife treatment in patients with cervical lesions.Methods:60 patients with cervical lesions admitted to our hospital from January 2022 to January 2024 were selected as the observation subjects.All patients underwent vaginal biopsy combined with high-frequency electric knife diagnosis and treatment,and the diagnostic efficacy,surgical and treatment information,surgical treatment effect,and surgical stress of the plan were observed.Results:Among the 60 patients,57 cases(95.00%)had the same preoperative guided endoscopy test results as postoperative pathological test results,and there was no statistically significant difference between the two diagnostic tests(P>0.05);60 patients underwent surgery for a duration of(18.28±3.28)minutes,with intraoperative bleeding of(13.58±3.25)mL and cervical repair time of(35.67±5.85)days;60 patients were re examined 1 month after surgery,and 45 patients did not have any cervical abnormalities.The patients reported no related symptoms,no impact on their daily life,and were completely cured.14 patients did not have any cervical abnormalities,but still had mild discomfort,which was effectively treated.Only 1 patient had physiological discomfort,and upon examination,their cervical recovery was slow;Compared to preoperative and postoperative patients,the levels of IL-6 and TNF-α,CRP significantly increased while IL-10 significantly decreased,with statistically significant differences(P<0.05).Conclusion:The application of vaginal biopsy combined with high-frequency electrocautery in the diagnosis and treatment of cervical lesions in patients has high accuracy,can accurately detect the type of cervical lesions,and has good surgical results with minimal damage,which can be completed quickly.

关 键 词：宫颈病变 阴道活检 高频电刀 

分 类 号：R71[医药卫生—妇产科学]