宫颈上皮内瘤变行子宫颈环形电切除术的临床观察(1)
摘 要：目的 观察子宫颈环形电切除术治疗宫颈上皮内瘤变的临床效果。方法 选择2015年12月～2017年11月我院收治的宫颈上皮内瘤变患者63例进行观察，随机分为A组和B组。A组31例实施冷刀锥切术治疗，B组32例实施子宫颈环形电切除术治疗，比较两组患者的术后残留率、痊愈率、手术时间及术中出血量。结果 B组术后残留率为6.25%，优于A组的25.81%，差异具有统计学意义(P<0.05)。B组痊愈率为93.75%，优于A组的74.19%，差异具有统计学意义(P<0.05)。B组手术时间为(10.10±2.08)min，优于A组的(13.78±5.41)min；B术中出血量为(9.18±3.40)ml，优于A组的(15.07±3.24)ml，差异均具有统计学意义(P<0.05)。结论 针对宫颈上皮内瘤变患者实施子宫颈环形电切除术，术后残留率低，痊愈率较高，手术时间较短，术中出血量较少，值得推广使用。
关键词：宫颈上皮内瘤变；子宫颈环形电切除术；冷刀锥切术；术后残留率
, 百拇医药
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.10.034
文章编号：1006-1959(2018)10-0109-02
Clinical Observation of Cervical Loop Electrosurgical Excision Procedure for Cervical Epithelial Neoplasia
LIU Li-na
(Department of Gynecology，People's Hospital of Jizhou District，Tianjin 301900，China)
Abstract：Objective To observe the clinical effect of cervical electroresection in the treatment of cervical epithelial neoplasia.Methods 63 patients with cervical epithelial neoplasia treated in our hospital from December 2015 to November 2017 were selected and randomly divided into A group and B group.In group A，31 patients underwent cold knife conization.In group B，32 patients underwent circular electroresection of the cervix.Postoperative residual rate，cure rate，operation time，and intraoperative blood loss were compared between the two groups.Results The residual rate was 6.25% in group B，which was better than 25.81% in group A.The difference was statistically significant(P<0.05).The cure rate in group B was 93.75%，which was better than 74.19% in group A.The difference was statistically significant(P<0.05).The operation time in group B was(10.10±2.08)min，better than that in group A(13.78±5.41)min；the blood loss in group B was(9.18±3.40)ml，which was better than that in group A(15.07±3.24)ml.All have statistical significance(P<0.05).Conclusion For patients with cervical epithelial neoplasia，the rate of postoperative residual is low，the cure rate is higher，the operative time is shorter，and the amount of intraoperative bleeding is less，which is worth popularizing.
, 百拇医药
Key words：Cervical epithelial neoplasia；Cervical loop electrosurgical excision procedure；Cold knife conization；Postoperative residual rate
宫颈上皮内瘤变(cervical epithelial neoplasia)属于一种与宫颈浸润癌存在紧密联系的癌前病变现象，患者一般不存在明显的临床症状及体征，少数患者会出现白带异常、接触性出血、宫颈肥大、充血、糜烂等与慢性宫颈炎相似的症状[1]，若不及时进行有效治疗将會导致不典型增生原位癌与浸润癌并存现象，严重威胁患者生命安全。临床中一般实施子宫颈环形电切除术治疗，在临床中一般用作诊断及治疗宫颈疾病，能提高治疗效果。为了分析宫颈上皮内瘤变行子宫颈环形电切除术治疗的临床效果，我院针对收治的宫颈上皮内瘤变患者进行了分析及治疗对比。, http://www.100md.com(刘丽娜)
关键词：宫颈上皮内瘤变；子宫颈环形电切除术；冷刀锥切术；术后残留率
, 百拇医药
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.10.034
文章编号：1006-1959(2018)10-0109-02
Clinical Observation of Cervical Loop Electrosurgical Excision Procedure for Cervical Epithelial Neoplasia
LIU Li-na
(Department of Gynecology，People's Hospital of Jizhou District，Tianjin 301900，China)
Abstract：Objective To observe the clinical effect of cervical electroresection in the treatment of cervical epithelial neoplasia.Methods 63 patients with cervical epithelial neoplasia treated in our hospital from December 2015 to November 2017 were selected and randomly divided into A group and B group.In group A，31 patients underwent cold knife conization.In group B，32 patients underwent circular electroresection of the cervix.Postoperative residual rate，cure rate，operation time，and intraoperative blood loss were compared between the two groups.Results The residual rate was 6.25% in group B，which was better than 25.81% in group A.The difference was statistically significant(P<0.05).The cure rate in group B was 93.75%，which was better than 74.19% in group A.The difference was statistically significant(P<0.05).The operation time in group B was(10.10±2.08)min，better than that in group A(13.78±5.41)min；the blood loss in group B was(9.18±3.40)ml，which was better than that in group A(15.07±3.24)ml.All have statistical significance(P<0.05).Conclusion For patients with cervical epithelial neoplasia，the rate of postoperative residual is low，the cure rate is higher，the operative time is shorter，and the amount of intraoperative bleeding is less，which is worth popularizing.
, 百拇医药
Key words：Cervical epithelial neoplasia；Cervical loop electrosurgical excision procedure；Cold knife conization；Postoperative residual rate
宫颈上皮内瘤变(cervical epithelial neoplasia)属于一种与宫颈浸润癌存在紧密联系的癌前病变现象，患者一般不存在明显的临床症状及体征，少数患者会出现白带异常、接触性出血、宫颈肥大、充血、糜烂等与慢性宫颈炎相似的症状[1]，若不及时进行有效治疗将會导致不典型增生原位癌与浸润癌并存现象，严重威胁患者生命安全。临床中一般实施子宫颈环形电切除术治疗，在临床中一般用作诊断及治疗宫颈疾病，能提高治疗效果。为了分析宫颈上皮内瘤变行子宫颈环形电切除术治疗的临床效果，我院针对收治的宫颈上皮内瘤变患者进行了分析及治疗对比。, http://www.100md.com(刘丽娜)