两种宫颈锥切术在围绝经期女性宫颈上皮内瘤变Ⅲ中的效果分析

The Effect Analysis of Two Kinds of Cervical Cone Cutting Technique in Perimenopausal Women Cervical Intraepithelial Neoplasia Ⅲ Change

目的:观察宫颈冷刀锥切术和宫颈环行电切对治疗围绝经期女性宫颈上皮内瘤变Ⅲ级的临床效果。方法:选择笔者所在医院进行治疗的围绝经期女性宫颈上皮内瘤变Ⅲ级患者200例,随机分成治疗组和对照组,分别给予宫颈环行电切术和宫颈冷刀锥切术治疗,观察两组患者的手术时间、术中出血量、术后感染率及首次治疗成功率。结果:治疗组患者手术治疗时间、术中出血量均少于对照组患者,差异有统计学意义(P<0.05);两组患者在术后感染率对比差异有统计学意义(P<0.05);两组患者首次治疗成功率的对比,治疗组成功率为96%,对照组成功率为95%,两组比较差异无统计学意义(P>0.05)。结论:冷刀锥切术治疗宫颈上皮内瘤变Ⅲ级术后感染几率较小,环行电切术则手术时间短、术中出血量少,两类方法疗效相似,均为治疗宫颈上皮内瘤变Ⅲ级的有效方法。

Objective：To observe the clinical effect of cervical cold knife cone cutting technique and cervical circular electric cutting in the treatment of perimenopausal women cervical intraepithelial neoplasia become Ⅲ level.Methods：200 cases of perimenopausal women cervical intraepithelial neoplasia becomeⅢ stage patients were selected and randomly divided into treatment group and control group,who were given cervical circular electrotomy and cervical cold knife cone cutting operation treatment,observation two sets of patients during operation time,amount of bleeding,postoperative infection and treatment success rate for the first time.Results：The treatment group patients surgical treatment time,intraoperative amount of bleeding were less than control group patients,with significant difference（P〈0.05）.There was significant difference in two groups of patients with postoperative infection contrast（P〈0.05）.The successful rate after the first treatment in the treatment group and control group respectively was 96% and 95%,there was no significant difference（P〉0.05）.Conclusion：Cold knife cone cutting surgical in treatment of cervical intraepithelial neoplasia become Ⅲ stage postoperative infection probability is small,while round electrotomy is shorter operation time,less intraoperative amount of bleeding,curative effect is similar for two kinds of methodall for the treatment of cervical intraepithelial neoplasia of grade change Ⅲ .