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目的:探讨改良式冷刀宫颈锥形切除术在治疗宫颈病变中的临床价值及优越性。方法:对该院2009年6月～2010年11月行冷刀宫颈锥切术(CKC)的患者56例进行分析,其中采用传统方法的有21例,改良式手术35例。将两组的手术时间、术中和术后出血、术中锥高、住院天数和术后宫颈粘连情况做比较。结果:①改良组和传统组手术时间分别为(40±12)和(60±15)分(P<0.05),术中出血分别为(50±20)和(90±40)ml(P<0.05);②改良组和传统组术中所切锥体锥高分别为(22.1±5.7)和(19.5±5.3)cm(P>0.05);③改良组和传统组术后宫颈粘连的发生分别为0例和3例(P<0.05)。两组均无术后异常出血和感染等情况出现。结论:这种改良式宫颈锥切术节约了手术时间和住院费用,术中出血和术后并发症都明显减少。
Objective: To explore the clinical value and superiority of modified cold knife cervical conization in the treatment of cervical lesions. Methods: 56 patients with cold knife cervical conization (CKC) from June 2009 to November 2010 in our hospital were analyzed. Among them, 21 cases were treated by traditional method and 35 cases were modified operation. The operation time, intraoperative and postoperative bleeding, intraoperative cone height, hospitalization days and postoperative cervical adhesions were compared between the two groups. Results: ① The operative time of the modified group was (40 ± 12) and (60 ± 15) minutes respectively (P <0.05), and the mean intraoperative hemorrhage was (50 ± 20) and (90 ± 40) ml respectively (P < 0.05). (2) The cone pyramidal cone height of the modified group and the traditional group were (22.1 ± 5.7) and (19.5 ± 5.3) cm respectively (P> 0.05). ③The incidence of cervical adhesions in the modified group and the traditional group were 0 cases and 3 cases (P <0.05). No abnormal bleeding and infection occurred in both groups. Conclusion: This modified cervical conization saves the operation time and hospitalization costs, and the intraoperative bleeding and postoperative complications are significantly reduced.