膨胀海绵用于宫颈冷刀锥切术后止血效果的临床观察

The Clinical Observation of the Effects about Using the Eexpansion Sponge in the Control of Cervical Bleeding after Conization of Cervix by Cold-knife

目的比较膨胀海绵和碘仿纱条在宫颈冷刀锥切术后填塞止血的效果。方法将120例宫颈癌前病变患者按随机数字表分成2组:治疗组(65例)采用膨胀海绵进行宫颈填塞止血,对照组(55例)采用进行宫颈填塞止血;观察2组患者止血效果及不适情况。结果术后72 h阴道流血量正常的患者,治疗组多于对照组(P<0.05);术后阴道流血时间比较,治疗组少于对照组(P<0.05);术后患者重度不适发生率,治疗组少于对照组(P<0.05)。结论膨胀海绵用于宫颈冷刀锥切术后止血效果好,填塞后舒适度好,是一种较碘仿纱条更好的填塞止血材料。

Objective To compare the effects of using the expansion sponge and iodoform gauze packing in the control of cervical bleeding after conization of cervix by cold-knife.Methods One hundred and twenty patients with precancerous lesions of uterine cervix were enrolled.They were divided into two groups at random,and differently treated with the expansion sponge（treatment group） and iodoform gauze（control group） packing for haemostasis.There are 65 cases in experimental group and 55 cases in matched group,and both groups were estimated by observing the effects of haemostasis and comfort levels.Results There is significant difference in the amount of bleeding in 72 hours after operation between two groups（P〈0.05）.The difference of bleeding time between two groups after operations is also significant（P〈0.05）.Meanwhile,the experimental group show great difference from matched group in the indence rate of serious discomfort after operation（P〈0.05）.Conclusion Expansion sponge is more effective for haemostasis and more comfort than iodoform gauze used in conization of cervix by cold-knife.