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目的探讨宫腔镜下电切宫颈治疗慢性宫颈炎的临床效果。方法以宫腔镜下锥形电切宫颈炎性病变区域及部分宫颈管组织,并送病理检查。术后2周、1个月、3个月、6个月、12个月共5次随访。治疗200例,随访195例。结果电切组平均手术时间约(3.6±1.2)min,平均术中出血约(4.3±1.4)ml。对照组平均手术时间约(9.3±3.2)min,平均术中出血量约(8.9±3.8)ml。平均手术时间、术中出血量、术后2周左右脱痂出血情况及治愈率,两组间比较差异有统计学意义(P<0.01)。结论宫腔镜下电切宫颈治疗慢性宫颈炎手术简单、方便、安全,术中出血少,病变组织切除彻底、并发症少,治愈率高、复发率低,值得推广。
Objective To investigate the clinical effect of hysteroscopic cervical incision on chronic cervicitis. Methods Hysteroscopic cervical lesions under the area of cervical lesions and cervical tissue, and send pathological examination. After 2 weeks, 1 month, 3 months, 6 months, 12 months, a total of 5 follow-up. Treatment of 200 cases, followed up 195 cases. Results The average operation time in the resection group was (3.6 ± 1.2) min and the mean intraoperative bleeding was (4.3 ± 1.4) ml. The control group had an average operation time of (9.3 ± 3.2) min and an average intraoperative blood loss of (8.9 ± 3.8) ml. The mean operation time, intraoperative blood loss, bleeding escalation after 2 weeks and the cure rate were statistically significant (P <0.01). Conclusions Hysteroscopic electrosurgical treatment of chronic cervicitis is simple, convenient and safe, with less intraoperative bleeding, complete removal of the lesion, fewer complications, high cure rate and low recurrence rate. It is worth promoting.