宫腔镜下宫颈锥切术治疗宫颈上皮内瘤样变疗效观察

Cervical cone electrosection through hysteroscopy in cervical intraepithelial neoplasia

目的探讨宫腔镜下宫颈锥切术(TCRC)治疗宫颈上皮内瘤样病变的可行性及临床疗效。方法在宫腔镜下对CINⅡ、Ⅲ期患者57例行TCRC(TCRC组),36例行宫颈环形电切术LEEP(LEEP组)。观察两组手术时间、出血量及术后病理情况。结果TCRC组平均手术时间为(15.2±3.1)min,术中平均出血量为(6.1±1.7)ml;LEEP组平均手术时间为(14.0±2.8)min,术中平均出血量为(11.4±2.2)ml,两组出血量比较,差异有统计学意义(P<0.05)。结论与宫颈环形电切术比较,宫腔镜下宫颈锥形切除术出血量少。

Objective To evaluate the effectiveness of cervical cone electrosection through hysteros- copy in treating cervical intraepithelial neoplasia. Methods Of 93 cases with CIN Ⅱ and Ⅲ stage, 57cases received cervical cone electrosection through hysteroscopy （TCRC group）, and 37cases received loop electrosurgical excision procedure （LEEP group）. Operation duration, bleeding volume and postoperative complications were compared between the two groups. Results In TCRC group, average time spent during operation was （15.2 ±3.1） minutes, and mean bleeding volume was （6. 1± 1.7） ml. In LEEP group, average operation time was （ 14. 0 ± 2. 8） minutes, and mean bleeding volume was （ 11.4 ± 2.2） ml. The TCRC group had smaller amount of blood loss during operation （ P 〈 0. 05 ）.There was no statistical difference in the incidence of postoperative cervical stenosis between the two groups. Conclusion TCRC neoplasia through hysteroscopy had smaller amount of blood loss during operation than LEEP.