论文部分内容阅读
目的探讨一种改良宫颈锥切术的临床价值。方法 2008年1月至2011年1月在中山大学附属第五医院对87例患者实施改良宫颈锥切术的手术效果、并发症进行观察,随机选取同期62例行常规宫颈锥切术的患者资料进行比较。结果常规宫颈锥切术与改良宫颈锥切术手术时间分别是(40.08±9.16)min和(17.08±3.90)min,常规宫颈锥切术与改良宫颈锥切术术中出血量分别是(44.66±22.64)mL和(13.09±4.44)mL,两组手术时间及术中出血量差异均具有统计学意义(P<0.001)。常规宫颈锥切组和改良宫颈锥切组切除锥体高度分别为(21.94±2.34)mm、(22.04±2.29)mm,P>0.05。常规宫颈锥切术术后出血率29.03%,改良宫颈锥切组术后出血率3.45%,差异具有统计学性意义(P<0.05)。两组术后发热、切缘阳性率、宫颈狭窄发生率差异无统计学意义(P>0.05)。结论改良宫颈锥切术能达到常规宫颈锥切术的手术范围,不影响切缘病理诊断;比常规宫颈锥切术手术时间短,出血量少,并发症更少。
Objective To investigate the clinical value of a modified cervical conization. Methods From January 2008 to January 2011, 87 patients underwent modified cervical conization in the Fifth Affiliated Hospital of Sun Yat-sen University. The operative effects and complications were observed. Totally 62 patients undergoing conventional cervical conization Compare. Results The time of routine cervical conization and modified conization of the cervix was (40.08 ± 9.16) min and (17.08 ± 3.90) min, respectively. The amount of bleeding in the conventional conization and modified conization was (44.66 ± 22.64) mL and (13.09 ± 4.44) mL respectively. There was significant difference between the two groups in the operation time and intraoperative blood loss (P <0.001). The height of resection cones in conventional cervical conization group and modified cervical conization group were (21.94 ± 2.34) mm and (22.04 ± 2.29) mm respectively, P> 0.05. Conventional cervical conization surgery postoperative bleeding rate was 29.03%, modified cervical conization group postoperative bleeding rate was 3.45%, the difference was statistically significant (P <0.05). No significant difference was found in the incidence of postoperative fever, positive margins and cervical stenosis between the two groups (P> 0.05). Conclusions Modified cervical conization can achieve the surgical range of conventional cervical conization, does not affect the diagnosis of marginal pathology; shorter than the conventional cervical conization surgery, less bleeding, fewer complications.