宫腔镜宫颈病变电切术治疗宫颈上皮内瘤样病变的效果

Comparison of the Efficacy of Transcervical Resection and Ring Electrotomy in the Treatment of Cervical Intraepithelial Neoplasia

目的比较宫腔镜宫颈病变电切术与环形电切术治疗宫颈上皮内瘤样病变的疗效。方法选取84例宫颈上皮内瘤样病变患者,按随机法分为对照组和观察组,各42例,对照组行环形电切术,观察组行宫腔镜宫颈病变电切术,比较2组手术时间、术中出血量、住院时间、切口愈合时间、不良反应发生率及疗效。结果2组的手术时间、住院时间及不良反应发生率差异均无统计学意义(P>0.05)。观察组术中出血量(5.33±1.25)mL,低于对照组(10.71±2.30)mL;观察组切口愈合时间(24.91±5.73)d,低于对照组(32.35±5.82)d;观察组治愈率92.9%,高于对照组76.2%,差异均有统计学意义(P<0.05)。结论宫腔镜宫颈病变电切术与环形电切术均可有效治疗宫颈上皮内瘤样病变,但宫腔镜宫颈病变电切术术中出血少、愈合快、术后并发症发生率低。

Objective To compare the efficacy of transcervical resection and ring electrotomy in the treatment of cervical intraepithelial neoplasia. Methods Eighty-four patients with cervical intraepithelial neoplasia were randomly divided into control group and observation group, 42 cases in each group. In the observation group, the observation group underwent transcervical resection, and the operation time, intraoperative blood loss, hospitalization time, incision healing time, adverse reaction rate and efficacy evaluation were compared between the two groups. Results There was no significant difference in the operation time, hospitalization time and adverse reaction rate between the two groups ( P >0.05). The intraoperative blood loss was (5.33±1.25)mL and the incision healing time was (24.91±5.73)d. The results were lower than the control group (10.71±2.30)mL and (32.35±5.82)d, and the cure rate (92.9 %) was higher than that of the control group (76.2%), and the differences were significant ( P < 0.05). Conclusion Transcervical resection and ring electrotomy can effectively treat cervical intraepithelial neoplasia , but hysteroscopic cervical lesion resection has less bleeding, faster healing and lower postoperative complications.