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宫颈单层锥切术与分层环切术的疗效分析

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摘要 目的探讨传统宫颈单层锥切术与分层环切术的疗效。方法选择在本院行宫颈LEEP术的患者130例,随机分为传统单层锥切组82例和分层环切组48例,术后半年观察两组宫颈形态、宫颈管狭窄和粘连情况,并且行阴道镜复查宫颈活检结果,分析两种不同术式的治愈率、宫颈管狭窄和闭锁率、宫颈塌陷率及病变残留率。结果传统单层锥切组治愈率95.1%、切缘阳性率6.1%、宫颈狭窄和闭锁阳性率9.7%、宫颈塌陷率25.6%、病变残留率4.9%;分层环切组治愈率95.8%,切缘阳性率2.1%、宫颈狭窄和闭锁阳性率2.1%、宫颈塌陷率10.4%、病变残留率4.2%。两组治愈率、宫颈管狭窄、闭锁率、病变残留率差异均无统计学意义(均P>0.05),分层环切组宫颈塌陷率低于传统单层锥切组,差异具有统计学意义(P<0.05)。结论分层环切术在保持术后宫颈的解剖构型和宫颈机能方面有独特优越性。
出处 《浙江实用医学》 2019年第1期50-51,74,共3页 Zhejiang Practical Medicine
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