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目的:探讨宫腔镜治疗宫颈上皮内瘤变(CIN)的临床疗效。方法:将宫颈上皮内瘤变患者159例分成A组83例和B组76例,A组行宫腔镜下锥形电切术,B组同期行宫颈冷刀锥切术(CKC),切除组织均送病理。比较两组的手术时间、术中出血量、切口愈合时间、术后切缘阳性率、术后病理吻合率及随访结果。结果:两组的手术时间、术中出血量、术后切口愈合时间及术后切缘阳性率比较,差异均有统计学意义(P<0.05),而病理结果及随诊各项观察指标比较差异无统计学意义(P>0.05)。结论:宫腔镜电切手术时间短,出血量少,切缘阳性率低,术后愈合快,是一种治疗宫颈上皮内瘤变的较好方法。
Objective: To investigate the clinical effect of hysteroscopy in the treatment of cervical intraepithelial neoplasia (CIN). Methods: 159 patients with cervical intraepithelial neoplasia were divided into group A (n = 83) and group B (n = 76). Group A underwent hysteroscopic conization, group B underwent cervical cold knife conization (CKC) All sent pathology. The operation time, intraoperative blood loss, incision healing time, the positive rate of postoperative margins, postoperative pathological anastomosis and follow-up results were compared between the two groups. Results: The operation time, intraoperative blood loss, postoperative incision healing time and the positive rate of postoperative margins were significantly different between the two groups (P <0.05), while the pathological results and the follow-up of various indicators The difference was not statistically significant (P> 0.05). Conclusions: Hysteroscopic electrosurgical procedure is a good method for the treatment of cervical intraepithelial neoplasia because of its short operative time, less bleeding, low positive margins and rapid postoperative healing.