免缝合宫颈冷刀锥切术在有生育要求的子宫颈病变患者中的疗效评估

Evaluation of the Efficacy of Suture Free Cervical Cold Knife Conization in Patients with Cervical Lesions with Fertility Requirements

目的:分析免缝合宫颈冷刀锥切术在有生育要求的子宫颈病变患者中的疗效。方法:选取2021年2月—2022年12月新余市人民医院收治的102例有生育要求的子宫颈病变患者,以随机数字表法分为对照组、研究组,各51例。对照组给予传统缝合法的宫颈冷刀锥切术治疗,研究组给予免缝合宫颈冷刀锥切术治疗。比较两组手术指标(手术时间、术中出血量、术后出血量、住院时间)、术后子宫颈创面完全上皮化、早产情况及并发症发生情况。结果:研究组手术时间、住院时间均短于对照组,术中、术后出血量均少于对照组(P<0.05)。术后4、12周,研究组子宫颈创面完全上皮化占比均高于对照组(P<0.05)。研究组并发症发生率、早产率均低于对照组(P<0.05),两组妊娠率比较,差异无统计学意义(P>0.05)。结论:免缝合宫颈冷刀锥切术用于有生育要求的子宫颈病变患者可促进患者恢复,促进术后子宫颈创面完全上皮化,降低并发症发生率,预后情况较好。

Objective:To analyze the curative effect of suture free cervical cold knife conization in patients with cervical lesions with fertility requirements.Method:A total of 102 patients with cervical lesions with fertility requirements admitted to Xinyu People's Hospital from February 2021 to December 2022 were selected and divided into control group and study group by random number table method,with 51 cases in each group.The control group was treated with traditional suture method cervical cold knife conization and the study group was treated with suture free cervical cold knife conization.The surgical indexes(operation time,intraoperative blood loss,postoperative blood loss,hospital stays),the cervical wound complete epithelialization after operation,preterm birth and complications were compared between the two groups.Result:The operation time and hospital stays of the study group were shorter than those of the control group,and the amount of intraoperative and postoperative blood loss were lower than those of the control group(P<0.05).At 4 and 12 weeks after surgery,the proportion of the cervical wound complete epithelialization in the study group were higher than those in the control group(P<0.05).The complication rate and preterm birth rate of the study group were lower than those of the control group(P<0.05),and there was no significant difference in pregnancy rate between the two groups(P>0.05).Conclusion:Suture free cervical cold knife conization used in patients with cervical lesions with fertility requirements can promote the recovery of patients,promote the postoperative cervical wound complete epithelialization,reduce the incidence of complications,and have a good prognosis.