阴道镜联合LEEP术治疗宫颈癌前病变的临床效果评价

Evaluation of Clinical Effect of Colposcopy Combined with LEEP in the Treatment of Cervical Precancerous Lesions

目的探究将阴道镜联合LEEP术应用于宫颈癌前病变疾病中的效果,评价其临床意义。方法对该院2017年9月—2019年5月时间段内所有宫颈癌前病变疾病患者的一般资料进行收集,通过随机、标准、对比等方式抽选出其中72例患者纳入研究作为实验对象,根据患者的手术方案,将其分为参照组(n=36)与联合组(n=36);参照组患者选择常规开腹手术进行治疗,联合组患者则选择阴道镜联合LEEP术引导下手术方案进行治疗,治疗完成后记录所有患者的治疗总有效率,对比参照组和联合组患者的各项手术指标以及患者术后并发症的发生率,评价手术效果。结果联合组患者的治疗总有效率为91.67%,参照组患者治疗总有效率为66.67%,差异有统计学意义(χ^(2)=6.821,P<0.05)。联合组患者的术后并发症发生率为5.56%,参照组患者并发症发生率为25.00%,差异有统计学意义(χ^(2)=5.258,P<0.05)。同时联合组患者的各项手术指标较参照组来说明显更优,差异有统计学意义(P<0.05)。结论在对宫颈癌前病变疾病患者进行治疗时,应用阴道镜联合LEEP术手术方案进行治疗能够有效缩短手术时间,降低患者术后并发症的发生率,具有较高的可用性,能够有助于患者手术机体恢复,这种手术出血量较少,对于患者来说有更好的适应性。

Objective To explore the effect of applying colposcopy combined with LEEP to cervical precancerous lesions and evaluate its clinical significance.Methods Collect the general data of all patients with cervical precancerous lesions in the hospital from September 2017 to May 2019,and select 72 patients into the study as experimental objects through random,standard,and comparison methods according to the surgical plan of the patients,they were divided into a reference group(n=36)and a combined group(n=36);patients in the reference group chose conventional open surgery for treatment,and patients in the combined group chose colposcopy combined with LEEP guidance surgical plan for treatment.After the treatment was completed,the total effective rate of treatment of all patients was recorded.Compare the various surgical indicators of the reference group and the combined group as well as the incidence of postoperative complication to evaluate the surgical effect.Results The total effective rate of treatment for patients in the combination group was 91.67%,and the total effective rate of treatment for patients in the reference group was 66.67%,and the difference was statistically significant(χ^(2)=6.821,P<0.05).The postoperative complication rate of patients in the combined group was 5.56%,and the complication rate of patients in the reference group was 25.00%,and the difference was statistically significant(χ^(2)=5.258,P<0.05).At the same time,the surgical indexes of the patients in the combined group were significantly better than those in the reference group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with cervical precancerous lesions,the application of colposcopy combined with LEEP surgery can effectively shorten the operation time and reduce the incidence of postoperative complications.It has high availability and can help the patient's body recover from the operation,this kind of operation has less blood loss,has better adaptability for the patient.