宫颈环形电切术与宫颈冷刀切除术治疗宫颈上皮内瘤变的临床对比研究

摘要

Objective To investigate the clinical comparison between cervical ring electrosurgery and cervical cold knife resection for cervical intraepithelial neoplasia. Methods The study subjects were convenient selected from 160 women with cervical intraepithelial neoplasia who were admitted to our hospital from April 2016 to April 2017. They were randomly divided into two groups. Among them, 80 were women with cervical ring electrosurgery and 80 were women with cervical cold knife resection. The treatment time of the two treatment methods, the amount of bleeding during the operation, the time of healing of the cervical wound after surgery, and the treatment effect after the operation were compared. Results The operation time of the cervical ring electrosurgery group was (30.1±1.7)min, which was significantly shorter than that of the cervical cold knife resection group (58.6±8.4)min. The amount of bleeding in the cervical ring electrosurgery group was (19.3± 2.5)mL, less than the cervical cold knife resection group (59.8±5.6)mL; the wound healing time of the cervical ring electrosurgery group was (20.4±4.3)d, which was faster than the control group (33.2±7.7)d. The above data were statistically significant(t=7.7438, 14.482 9, 12.981 4, P＜0.05). The cure rate was 75 cases(93.75％) in the LEEP group and 73 cases(91.25％) in the CKC group. The therapeutic effects were similar in both groups (χ2=0.450 5, P＞0.05). Conclusion Cervical ring electrotomy is more convenient and safer than cervical cold knife resection. The complications after surgery are less, the hospitalization time is shorter, and the treatment cost for patients is also lower.%目的 探讨宫颈环形电切术与宫颈冷刀切除术治疗宫颈上皮内瘤变的临床对比.方法 该研究的研究对象为方便选取该院于2016年4月-2017年4月收治的160例患宫颈上皮内瘤变的女性患者,随机分为两组.其中采用宫颈环形电切术的女性患者有80例和采用宫颈冷刀切除术的女性患者有80例.比较两种治疗方法的治疗时间、手术过程中出血量、手术后宫颈创面愈合的时间等手术状况以及手术后的治疗效果等.结果 宫颈环形电切术组的手术时间(30.1±1.7)min,明显短于宫颈冷刀切除术组的时间(58.6±8.4)min;宫颈环形电切术组的出血量(19.3±2.5)mL,比宫颈冷刀切除术组(59.8±5.6)mL少;宫颈环形电切术组的患者伤口愈合时间(20.4±4.3),比对照组(33.2±7.7)d能更快的愈合,以上数据差异有统计学意义(t=7.743 8、14.482 9、12.981 4,P＜0.05).LEEP组治愈率为75例(93.75％),CKC组治愈率为73例(91.25％),两组的治疗效果差异无统计学意义(χ2=0.450 5,P＞0.05).结论 宫颈环形电切术与宫颈冷刀切除术相比,宫颈环形电切术操作更简便安全,手术后发生的并发症更少,住院的时间也更短,患者所需花费的治疗费也更低.