冷刀宫颈锥切用于CINⅡ~Ⅲ 3种止血方法的临床研究

Clinical research on three kinds of hemostasis methods of CIN Ⅱ-Ⅲ with cold knife cervical conization

目的对冷刀宫颈锥切用于CINⅡ~Ⅲ3种止血方法进行研讨。方法随机将2017年1~12月在我院住院医治的90例冷刀宫颈锥切术治疗CINⅡ~Ⅲ的患者分为3组,电凝组:给予患者电凝止血的方法,荷包组:给予患者术后荷包缝合的止血方法、sturmdorf组:给予患者手术sturmdorf缝合的止血方法,每组各30例,将三组结果进行对比分析。结果三组患者经不同止血方法后,对其进行2周、1个月、3个月的定期随访工作,sturmdorf组患者的手术时间、术中出血量、术后留置尿管天数、术后出血量、术后住院天数以及复发、感染、腹痛、宫颈管狭窄等并发症的发生率均低于荷包组和电凝组,差异具有统计学意义(P<0.05)。结论 Sturmdorf缝合止血法能减少并发症发生率,宫颈塑性良好,在临床疗效中起显著作用。

Objective To discuss three kinds of hemostatic methods of CIN Ⅱ-Ⅲ with cold knife cervical conization. Methods From January 2017 to December 2017,90 patients with CIN Ⅱ-Ⅲ who were hospitalized in our hospital were randomly divided into 3 groups,30 cases in each group. Electrocoagulation group was treated with the method of electrocoagulation for hemostasis.The pocket group was treated with the method of hemostasis for suture of pocket after operation.Sturmdorf group：the hemostatic method of sturmdorf suture was given to the patients. Results Three groups of patients were followed up for 2 weeks,1 month and 3 months after different hemostatic methods.The operative time,intraoperative bleeding volume,days of indwelling urinary catheter,postoperative blood loss,postoperative hospital stay,and incidence of complications（such as recurrence,infection,abdominal pain and cervical stenosis） in sturmdorf group were lower than those in pocket group and electrocoagulation group,there was statistical significance（P〈0.05）. Conclusion the proportion of sturmdorf suture hemostasis can reduce the incidence of complications, and the cervical plasticity is good, which plays a significant role in the clinical efficacy.