宫颈锥形切除术后的并发症及管理策略

Complications and management strategies after cervical cone resection surgery

目的探讨宫颈锥形切除术后的并发症及管理策略。方法选取本院310例宫颈锥形切除术患者为研究对象,收集关于宫颈锥形切除术后并发症的数据,分析并发症的发生率、类型及其与患者特征之间的关联。结果60.0%患者诊断为宫颈上皮内瘤变,40.0%诊断为早期宫颈癌;并发症发生率为14.5%,其中宫颈炎性病症发生率为6.5%、出血发生率为4.8%、宫颈狭窄发生率为1.3%;45岁以上患者的并发症发生率为18%,显著高于45岁以下患者的10%,宫颈上皮内瘤变患者的并发症发生率为10%,低于早期宫颈癌患者的20%(P<0.05)。结论应针对不同并发症类型提供管理策略,旨在改善患者的临床预后。

Objective To explore the complications and management strategies after cervical cone resection surgery.Methods 310 patients who underwent cervical cone resection in our hospital were selected as the research subjects.Data on postoperative complications of cervical cone resection were collected,and the incidence,types,and correlation with patient characteristics of complications were analyzed.Results 60.0%of patients were diagnosed with cervical intraepithelial neoplasia,and 40.0%were diagnosed with early cervical cancer;The total incidence rate of complications is 14.5%,with a cervical inflammatory disease incidence rate of 6.5%,bleeding incidence rate of 4.8%,and cervical stenosis incidence rate of 1.3%;The incidence of complications in patients over 45 years old is 18%,significantly higher than 10%in patients under 45 years old.The incidence of complications in patients with cervical intraepithelial neoplasia is 10%,lower than 20%in patients with early cervical cancer(P<0.05).Conclusion Management strategies should be provided for dfferent types of complications,aiming to improve the clinical prognosis of patients.