两种止血方法在冷刀锥切术中的应用分析

Clinical Analysis of Two Hemostases on Cold Knife Conization

目的探讨两种不同止血方法在冷刀锥切术中的止血效果及并发症。方法回顾性分析我院48例冷刀锥切患者采用两种不同止血方法的临床资料。48例患者平均分为观察组和对照组,各24例。观察组锥切后宫颈成形缝合联合碘仿纱条颈管填塞止血;对照组采用电凝创面联合止血纱布压迫止血,活跃出血时"8"字缝扎。比较两组手术时间,术中、术后出血量,住院时间及宫颈管狭窄,盆腔感染等并发症。结果平均手术时间:观察组45min,对照组30min;术中平均出血量:观察组60mL,对照组90mL;术后出血量:观察组20mL,对照组80mL;术后平均住院时间:观察组6d,对照组9d;观察组宫颈狭窄2例,术后感染1例;对照组颈管狭窄5例,感染2例。结论宫颈成形缝合联合碘仿纱条填塞法在CKC中应用,能有效创面止血,出血少,住院时间短,术后并发症少,适于临床应用。

Objective To study the effects and complications of different hemostases on cold knife conization. Methods Recalling reviewed 48 cases of cold knife conization who were with different hemostases. 48 cases were divided into two groups on the average. The observation group were with sturmdorf plastic suture and packing iodoform gauze into cervical on cold knife conization. The control group were with electric coagulation and hemostatic gauze compressure, and ＂8＂ suture activity breeding. We compared the surgical time,intraoperative bleeding volume,after-operation bleeding volume,days in hospital and the comphcations as cervical stricture and pelvic infection. Results In observer group and control group,the average operation time were 45 and 30 minutes; the intraoperative bleeding volume were 60 and 90mL;the after-operation bleeding volume were 20 and 80mL. The days in hospital were six and nine. Respectively,there were two and five cervical striclure in two groups. There were one and two infection. Conclusion The hemostasis effect is obviously with sturmdorf plastic suture and packing iodoform gauze on cold knife conization. The bleeding volume and complications are less. The time in hospital is shorter. It fits with clinical recommendation.