环形缝合在宫颈冷刀锥切术中的应用(1)
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[摘要] 目的:探讨宫颈冷刀锥切术中环形缝合止血方法的疗效。方法:随机选取2005年1月～2009年10月在我院行宫颈冷刀锥切术的患者55例,其中,采用环形缝合宫颈成形法30例(研究组),行8字缝合25例(对照组)。对两组的手术时间、术中出血量、术后出血量、术后住院天数、术后病理诊断及宫颈管狭窄发生率进行比较。结果:两组在手术时间、术后病理诊断上差异无统计学意义(P>0.05),但术中出血量、术后出血量、术后住院天数及宫颈管狭窄方面差异有统计学意义(P<0.05)。结论:锥切宫颈创面采用环形缝合止血法有助于创面对合,恢复宫颈解剖学形态,止血快,效果好,操作简单,术后住院天数短,术后未发生宫颈管狭窄及术后阴道镜检查满意度好,值得临床应用。
[关键词] 宫颈冷刀锥切术;环形缝合;出血量;术后
[中图分类号] R713.4[文献标识码]A [文章编号]1673-7210(2010)05(b)-037-02
Application of circular suture in the cervical cold knife conization
YAO Zhiqin
(Oil Field General Hospital of Puyang City, Puyang 457001, China)
[Abstract] Objective: To explore the hemostasis effect of circular suture methods in cervical cold knife conization. Methods: 55 cases of patients who underwent cold knife conization from January 2005 to October 2009 were randomly selected, including 30 cases as the study group with circular suture on the cervical wound and 25 cases as the control group with 8-shape suture. The operative time, intraoperative and postoperative blood loss, postoperative hospital staying, postoperative pathology and the occurrence of cervical stenosis were compared. Results: The operative time, postoperative pathological diagnosis were no significant difference (P>0.05), but in intraoperative and postoperative blood loss, postoperative hospitalization days and cervical canal stenosis had significant differences (P<0.05). Conclusion: Conization of cervical wounds are treated with loop suture to stop bleeding and help co-create the face of the restoration of cervical anatomical shape, to stop bleeding fast, effective, simple operation, a short hospital stay days, not occurred after cervical canal stenosis, good satisfaction after colposcopy detection. It is worthy of clinical use.
[Key words] Cold knife conization; Circular suture; Blood loss; Postoperative
宫颈冷刀锥形切除术简称冷刀锥切(cold knife conization,CKC)已广泛应用于子宫颈上皮内瘤变(CIN)的诊断和治疗、早期子宫颈浸润癌的诊断及要求保留生育功能的早期子宫颈癌的治疗。其主要并发症是术后出血及宫颈管粘连等,术中缝合止血已成为目前研究的重点。本文回顾性分析我院近几年在冷刀锥切术中采用的环形缝合宫颈成形法,并将8字缝合法作为对照,主要目的是探讨冷刀锥切术中采用的环形缝合宫颈成形法的止血效果及术后随访情况。现报道如下:
1 资料与方法
1.1 一般资料
选取2005年1月～2009年10月在我院因细胞学异常、阴道镜检查有宫颈病变者进行宫颈CKC的患者55例,按术中缝合止血方法分为环形缝合宫颈成形法30例(研究组)、双侧宫角8字缝合25例(对照组) ......
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