消融治疗宫颈高级别鳞状上皮内病变的临床效果

Clinical efficacy of ablation treatment for high-grade squamous intraepithelial lesions of the cervix

目的探讨消融治疗宫颈高级别鳞状上皮内病变的临床效果。方法选取本院110例宫颈高级别鳞状上皮内病变为研究对象,根据病变范围及患者选择,其中84例行冷冻治疗,18例行电熨治疗,8例行二氧化碳激光治疗。结果消融治疗宫颈高级别鳞状上皮内病变的总有效率为98.18%,3种消融方式的治愈率及好转率比较差异无统计学意义(P>0.05);术后1周、1个月及2个月,所有患者术口均愈合良好,未出现感染、创面大出血、宫颈粘连、宫颈增生等术后并发症。结论消融治疗宫颈高级别鳞状上皮内病变,效果显著,且创伤小及术后并发症发生率低,值得临床推广。

Objective To explore the clinical efficacy of ablation treatment for high-grade squamous intraepithelial lesions of the cervix.Methods 110 cases of high-grade squamous intraepithelial lesions of the cervix in our hospital were selected as the research subjects.According to the scope of the lesion and patient selection,84 cases underwent cryotherapy,18 cases underwent electric ironing treatment,and 8 cases underwent carbon dioxide laser treatment.Results The total effective rate of ablation treatment for high-grade squamous intraepithelial lesions of the cervix was 98.18%,and there was no statistically significant difference in the cure and improvement rates among the three ablation methods(P>0.05);After 1 week,1 month,and 2 months of surgery,all patients had good healing at the surgical site,and there were no postoperative complications such as infection,massive bleeding on the wound,cervical adhesions,or hyperplasia.Conclusion Ablation therapy for high-grade squamous intraepithelial lesions of the cervix has a significant effect,minimal trauma,and low incidence of postoperative complications,which is worthy of clinical promotion.