58例子宫颈环形电极切除术治疗宫颈病变临床观察及护理

Effective observation and nursing care of loop electrosurgical excision procedure for treating cervix pathological changes in 58 cases

目的:探讨子宫颈环形电极切除术(LEEP)治疗宫颈病变的效果并总结围手术期的护理。方法:回顾性分析58例宫颈病变的手术时间、术中出血量和术后疗效及围手术期护理方法。结果:58例手术时间5～20min,平均8.9min,平均出血量为11ml;手术标本送病理学检查,有4例术前病理显示宫颈糜烂,术后分别为宫颈上皮内瘤形成(CIN)I2例、CINⅡ2例;术后15天1例出现阴道流血量多,给予2次手术止血;术后4～6周复查宫颈上皮覆盖率达100%,宫颈光滑;有3例宫口有少量柱状上皮外翻。结论:LEEP刀是治疗宫颈疾病的一种理想手段,做好围手术期护理对提高手术治愈率,减少手术并发症具有积极的意义。

Objective：To explore the effect of using cervix loop electrosurgical excision procedure to treat cervix pathological changes and to summarise perioperative nursing experience.Methods：To retrospectively review and analyze the procedure duration,blood loss during operation,postoperative efficacy and perioperative nursing process of 58 cases.Results：The opration time of these 58 cases was 5～20 min,average 8.9 min,the average amount of bleeding was 11 ml.Surgical specimens were sent to pathology examination, which showed that four preoperative cases were cervical erosion, after operation which showed 2 cases of CINI, 2 cases of CINII.One case appeared more vaginal bleeding than normal on 15 d after operation.So the second surgery was given to stop bleeding.The results of recheck patients showed that the coverage of cervical intraepithelial was 100% and the cervix was smooth in 4-6 weeks after operation, 3 cases showed a small amount of cervix columnar epithelium ectropion.Conelusion：Loop electrosurgical excision procedure is an ideal method with many merits.lmplementing better perioperative nursing care is of positive significance to improve the cure rate and reduce surgical complications.