LEEP锥切术对宫颈癌前期病变宫颈上皮内瘤变治疗观察

Observation on LEEP conization in the treatment of cervical intraepithelial neoplasias of precursor lesions of cervical cancer

目的探讨在宫颈癌前期病变宫颈上皮内瘤变的治疗上LEEP锥切术的应用价值。方法回顾性分析于2016年7月~2017年10月在我院接受诊疗的70例宫颈癌前期病变宫颈上皮内瘤变患者的临床资料,并依据数字表法将其随机分成两组(对照组与实验组),每组35例。对照组和实验组分别利用冷刀锥切术和LEEP锥切术给予治疗,对两组患者的手术成果进行对比。结果对照组的总痊愈率(77.19%)显著低于实验组(总痊愈率为94.28%)(P<0.05);对照组的宫颈恢复时间、手术时间均明显长于实验组,术中出血量明显多于实验组,差异有统计学的意义(P<0.05)。结论在宫颈癌前期病变宫颈上皮内瘤变的治疗上,LEEP锥切术能够对患者的手术时间进行显著缩短,加快患者宫颈的恢复,其具有优异的治愈效果。

Objective To investigate the application value of LEEP conization in the treatment of cervical intraepithelial neoplasia of precursor lesions of cervical cancer. Methods The clinical data of 70 cases of cervical intraepithelial neoplasia of precursor lesions of cervical cancer who were treated in our hospital from July 2016 to October 2017 were retrospectively analyzed. According to digital table method, the patients were random Ly divided into two groups（control group and experimental group）, with 35 cases in each group. The control group and the experimental group were treated with cold knife conization and LEEP conization respectively. The surgical outcomes of two groups of pa tients were compared and discussed. Results The total cure rate in the control group（77.19%） was significantly lower than that in the experimental group total cure rate of 94.28%（P〈0.05）; the cervical recovery time and operation time in the control group were significantly longer than those in the experimental group. The volume of intraoperative bleeding was significantly more than that in the experimental group（P〈0.05）. The difference was statistically significant. Conclusion In the treatment of cervical intraepithelial neoplasia of precursor lesions of cervical cancer, LEEP conization can significantly shorten the operation time of patients and accelerate the recovery of cervix, which has an excellent healing effect.