冷刀锥切术和宫颈环形电切术治疗宫颈上皮内瘤变的疗效探讨

Cold knife conization and cervical loop electrosurgical excision procedure to explore the efficacy of the treatment of cervical intraepithelial neoplasia

目的对比宫颈上皮内瘤变(CIN)患者分别应用宫颈环形电切术(LEEP)与传统冷刀锥切术(CKC)治疗的临床效果。方法选取2010-04—2013-11间收治的宫颈上皮内瘤变患者72例,根据不同的手术治疗随机分为LEEP组40例和CKC组32例,LEEP组采用宫颈环形电切术治疗,CKC组采用传统冷刀锥切术治疗。结果 LEEP组手术时间、术中出血量及切口愈合时间明显少于对照组,两组比差异有统计学意义(P<0.05)。LEEP组治疗愈率92.50%,CKC组93.75%,两组手术效果比较差异无统计学意义(P>0.05)。结论 LEEP治疗宫颈上皮内瘤变与CKC比较操作简单、手术时间短、术中出血少,且疗效确切。

Objective To compare cervical intraepithelial neoplasia（CIN） patients,respectively,with the traditional cold knife conization （CKC） application of the clinical effects of treatment of cervical loop eleetrosurgical excision procedure （LEEP）. Methods Our hospital from April 2010 to November 2013 in the cervical intraepithelial neoplasia treated 72 patients ,40 patients were randomly divided into LEEP and CKC group of 32 patients depending on the surgical treatment, LEEP group with cervical loop eleetrosurgical excision treatment, CKC group using the traditional cold knife conization treatment. Results LEEP operative time, blood loss and wound healing time was significantly less than the control group,the two groups was significant（P 〈0.05） than the differences. LEEP group therapy was more 92. 50% ,CKC group was 93.75%, there was no significant difference between the two groups the effect of surgery（ P 〉 0. 05 ）. Conclusion LEEP treatment of cervical intraepithe- lial neoplasia and CKC relatively simple, shorter operative time,less blood loss, and the efficacy and indeed.