宫颈环形电切术后再行广泛子宫切除术时机选择及并发症分析

Opportunity of radical hysterectomy after LEEP and analyses of complications

目的分析宫颈环形电切术后再行广泛子宫切除术的时机选择及其对并发症发生率的影响。方法102例宫颈病变患者均接受宫颈环形电切术后再行广泛子宫切除术治疗，根据两次手术间隔时间分为3组，A组33例，B组35例，C组34例。比较3组手术基本情况及并发症发生情况。结果3组手术时间比较差异无显著性（P〉0．05）；C组术中出血量、住院时间、抗生素使用时间显著少于A组、B组（P〈0．05）；B组术中出血量显著少于A组（P〈0．05）。A组并发症总发生率为24．2％，B组为14．3％，C组为5．9％，C组显著低于A组（P〈0．05），A组与B组、C组与B组比较差异无显著性（P〉0．05）。结论宫颈环形电切术后再行广泛子宫切除术的时机选择对手术效果及并发症有一定影响，术后6周再行广泛子宫切除术手术效果较好，且可明显降低并发症发生率。

Objective To analyze the opportunity of radical hysterectomy after loop electrosurgical excision procedure （LEEP） and influences on complications. Methods A total of 102 patients with cervical lesions again received radical hysterectomy after LEEP and assigned to group A （n =33）, B （n =35） and C （n = 34） according to time interval. Operative basic conditions and complications were compared among 3 groups. Results There were no significant group differences in operation time （P〈0.05） ; intraoperative loss of blood, length of stay and use time of antibiotics were significantly lower in group C than in A and B （P〈0.05） ; intraoperative loss of blood was significantly lower in group B than in A （P〈0.05）. Total in- cidence of complications was respectively 24.2% in group A, 14.3% in B and 5.9% in C, that significantly lower in C than in A （P〈0.05）, and group differences between A and B and between C and B weren＇t significant （P〈0.05）. Conclusion The opportunity of radical hysterectomy after LEEP has a certain influence on operative effect and complications, the result of radical hysterectomy in the 6th week after LEEP is better, and lowers the incidence of complications notably.