单纯锥切术联合宫腔镜治疗宫颈上皮内瘤变Ⅲ级的可行性及临床疗效

Feasibility and clinical efficacy of simple cone resection combined with hysteroscopy in the treatment of cervical intraepithelial neoplasia III

目的:探讨单纯锥切术联合宫腔镜治疗宫颈上皮内瘤变Ⅲ级的临床疗效。方法:选取我院收治的60例宫颈上皮内瘤变Ⅲ级(CINⅢ)患者作为研究对象,根据手术方式的不同,分为观察组和对照组(各30例),对照组患者行冷刀宫颈锥切术(CKC),观察组行宫腔镜宫颈锥切术(TCRC),观察两组患者的治疗效果。结果:观察组患者的术中出血量明显少于对照组,手术时间明显短于对照组,观察组的治愈率显著高于对照组,复发率及并发症发生率均显著低于对照组,P<0.05。结论:单纯锥切术联合宫腔镜治疗CINⅢ,具有定位准确、用时短、出血量少、术后并发症少、复发率低等优点。

Objective： To explore the clinical effect of simple cone resection combined with hysteroscopy in the treatment of cervical intraepithelial neoplasia Ⅲ（CIN Ⅲ）. Methods： 60 cases of patients with cervieal intraepithelial neoplasia Ⅲ （CIN Ⅲ） treated in our hospital were selected as research subjects and divided into the observation group and the control group according to different ways of operation, with 30 cases in each group. The control group received cold knife cervical resection （CKC） while the observation group received cervical vertebral resection hysteroscopy （TCRC）, the therapeutic effect of two groups was compared. Results： The bleeding volume of the patients in the observation group was significantly less than that of the control group, the operation time of the observation group was significantly less than that of the control group, the cure rate of the observation group was significantly higher than that of the control group, the recurrence rate and complication rate of the observation group was significantly lower than that of the control group, P 〈 0.05. Conclusion： Simple cone resection combined with hysteroscopy had the advantages of accurate positioning, short time, less bleeding, less postoperative complications, low recurrence rate in the treatment of cervical intraepithelial neoplasia.