可吸收止血微球在宫颈冷刀锥切术中的应用效果

摘要

Objective To study the hemostatic effect of absorbable hemostatic microsphere in cervical cold knife conization.Methods From December 2013 to November 2015,100 cases of cervical cold knife conization in our hospital were randomly divided into the observation group and the control group,50 cases in each group.In the observation group,absorbable hemostatic microspheres were used to stop bleeding,and the control group was treated with electrocoagulation. The operation time,blood loss,vaginal bleeding and bleeding time,postoperative repair of cervical epithelium were compared between the two groups. Results The average operation time of observation group was(23.31±9.25)min,significantly less than that of the control group(32.45±14.90)min (P<0.05).The average bleeding volume of observation group was(54.11±40.78)ml,less than that of the control group(P<0.05).Also the postoperative bleeding rate was lower in observation group(P<0.05),but the differences between rates of cervical stenosis and other complications had no significant difference(P>0.05).The recovery of vaginal bleeding and epithelial was better in the observation group(P<0.05). Conclusion The absorbable hemostatic microsphere has good hemostatic effect and quick recovery in cervical cold knife conization,which is superior to electrocoagulation and hemostasis.%目的 研究可吸收止血微球用于宫颈冷刀锥切术中的止血效果.方法 选择2013年12月至2015年11月100例行宫颈冷刀锥切术患者,随机分为观察组和对照组,每组各50例.观察组于术中采用可吸收止血微球止血,对照组采用电凝止血.比较两组手术时间、术中出血量、术后阴道出血及排液时间、术后宫颈上皮修复情况等.结果 观察组平均手术时间为(23.31±9.25)min,显著少于对照组的(32.45±14.90)min(P<0.05);平均术中出血量观察组为(54.11±40.78)ml,也少于对照组的(62.98±47.10)ml(P<0.05);观察组术后5周内并发症中术后出血发生率低于对照组(P<0.05),宫颈狭窄和其他并发症发生率两组间无显著差异(P>0.05);观察组的阴道停止流血流液及上皮复原情况也优于对照组(P<0.05).结论 可吸收止血微球用于宫颈冷刀锥切术中止血效果好,术后恢复快,较电凝止血法有优势.