宫腔镜下不同术式治疗宫颈上皮内瘤的术中、术后以及远期疗效的比较

Comparison of the Curative Effect of Different Operative Methods in the Treatment of Cervical Intraepithelial Neoplasia

目的探讨宫腔镜下锥形电切术和冷刀锥切术的各项临床指标的差异性。方法选择近期收治的明确诊断为宫颈上皮内瘤变患者100例,并随机分厂两组,一组行锥形电切术、另一组行冷刀锥切术,所有实验的患者均签署知情同意书。对比两组手术治疗的时间、术中出血量、术后切缘的阳性率、术后病理吻合率以及随访观察的远期疗效。结果经过不同手术治疗后,观察的各项指标除病理结果以外其他指标经过统计学分析比较均有显著差异(P<0.05)。结论宫腔镜下选择锥形电切术治疗宫颈上皮内瘤效果更佳,出血量少安全性高,手术效率高,术后恢复更良好,值得临床推广应用。

Objective To investigate the differences of clinical parameters of the clinical parameters of cone and cold knife. Methods The diagnosis of recently admitted to our hospital for patients with cervical intraepithelial neoplasia in 100 cases, and two random branch group, a group for cone electrosection, another group underwent cold knife conization, all the patients signed the informed consent. Compared the two groups of operation time, the amount of bleeding during operation, the positive rate of postoperative resection margin, postoperative pathological anastomosis rate and follow - up observation of long - term curative effect. Results After different surgical treatment, the indicators of the observation in addition to pathological results compared with other indicators after statistical analysis and comparison have significant difference （P 〈 0. 05）. Conclusions The treatment of cervical intraepithelial neoplasia by transurethral resection under hysteroscopy is better, less bleeding, high operation efficiency and better recovery, which is worthy of clinical application.