射频自凝刀对宫颈环形电切术并发出血的临床疗效

目的观察评价射频自凝刀在治疗宫颈环形电切术中及术后宫颈出血的疗效。方法回顾性分析我院105例LEEP刀治疗宫颈疾病后宫颈有出血的病例,其中观察组64例立即采用射频自凝刀治疗止血,对照组41例采用LEEP电凝针或电珠等电凝止血,观察两组治疗时间、手术出血量、术后疗效及术后出血量≥月经量需再次止血治疗的例数。结果观察组与对照组平均手术时间分别为4分32秒与9分52秒,平均出血量分别为5.7ml与16.8ml,一次性成功率分别为100%与95.1%,术后两至三周内出血量≥月经量需再次止血治疗的例数分别为0例及13例,其中部分病例需使用自凝刀治疗而治愈;两组比较在治疗过程中减少出血量及预防出血方面差异显著。结论射频自凝刀治疗宫颈环形电切术中及术后宫颈出血的疗效满意,能及时处理与减少并发症的发生。

Objective To observe and evaluate the effect of autocoagulative radiofrequency ablation loop electrosurgical excision procedure to treat cervical hemorrhage. Methods Retrospective study on 105 cases which are cervical hemorrhage by trate autocoagulative radiofrequency ablation loop electrosurgical excision procedure.including 64 cases of observe groups used autocoagulative radiofrequency ablation,41 cases of comparison groups used electrocoagulation needle and pearl by using LEEP. We observed times of treating,bleeding ,the effective of after operation and bleeding which exceeding emmenia wanted to hemostasia again. Results The clinical data were analyzed retrospectively.the average times was 4 minutes 32 seconds and 9 minutes 52 seconds in observe group and comparision group,the average bleeding were 5.7mi and 16.8ml.the succeeding rate were 100% and 95.1%. the cases of bleeding which exceeding emmenia wanted to hemostasia again were 0 cases and 13 cases during 2-3 weeks later after operations,a few wanted to trete by autocoagulative radiofrequency ablation.both of have a markedness difference. Conclusion the curative effect was satisfied with autocoagulative radiofrequency ablation loop electrosurgieal excision procedure to treat cervical hemorrhagThey are easier to operate and can be used in control and deal with symportom discs.