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目的探讨宫颈环形电切术(LEEP)在治疗宫颈肌瘤的临床效果。方法回顾性分析2009年9月至2014年9月间收治的104例宫颈肌瘤患者的临床资料,按照数字随机法分为治疗组和对照组,每组52例。治疗组患者应用LEEP刀治疗,对照组患者行经阴道剔除术治疗。比较两组患者治疗后的疗效和术后并发症以及手术时间、平均出血量、治疗费用等。结果治疗组患者的总有效率为92.3%,高于对照组的69.2%,差异有统计学意义(P<0.05)。治疗组患者的手术时间、平均出血量、治疗费用均明显少于对照组,差异均有统计学意义(P<0.01)。两组患者并发症发生率的差异无统计学意义(P>0.05)。结论 LEEP在宫颈肌瘤治疗中的效果显著,值得临床推广应用。
Objective To investigate the clinical effect of cervical ring electrosurgical excision (LEEP) in the treatment of cervical fibroids. Methods The clinical data of 104 patients with cervical myoma treated from September 2009 to September 2014 were retrospectively analyzed. According to the digital randomization method, the patients were divided into treatment group and control group, with 52 cases in each group. The patients in the treatment group were treated with LEEP knife and the patients in the control group were treated by vaginal elimination. The curative effect, postoperative complications, operation time, average amount of bleeding and treatment cost were compared between the two groups. Results The total effective rate of the treatment group was 92.3%, which was higher than 69.2% of the control group, the difference was statistically significant (P <0.05). The operation time, average amount of bleeding and treatment cost in the treatment group were significantly less than those in the control group, the difference was statistically significant (P <0.01). There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusions LEEP has a significant effect in the treatment of cervical myoma and is worthy of clinical application.