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目的:探析宫颈上皮内瘤样病变Ⅱ级患者应用宫颈锥切治疗的临床效果。方法:随机抽取我院2013年1月至2016年12月期间收治的120例宫颈上皮内瘤样病变Ⅱ级患者为观察对象,根据治疗方法不同均分成两组,即对照组(n=60)、试验组(n=60)。对照组患者行宫颈冷刀锥切术治疗,试验组患者行宫颈高频环形电刀锥切术治疗,统计对比两组患者的手术情况、术后并发症发生率及术后病灶残留率。结果:试验组手术时间为(13.9±1.9)min,术中出血量为(10.5±1.8)mL,均明显少于对照组的(30.4±2.3)min、(43.5±2.0)mL,比较差异具有统计学意义(P<0.05)。试验组术后并发症发生率为13.3%,术后病灶残留率为3.3%,同对照组的20.0%、5.0%相比,差异不具统计学意义(P>0.05)。结论:在宫颈上皮内瘤样病变Ⅱ级患者治疗中,宫颈高频环形电刀锥切术的临床效果更好,可明显缩短手术时间,减少术中出血量,具有安全、高效的特点,值得临床广泛应用与普及。
Objective: To investigate the clinical effect of cervical conization in patients with grade Ⅱ cervical intraepithelial neoplasia. Methods: A total of 120 patients with grade Ⅱ cervical intraepithelial neoplasia admitted in our hospital from January 2013 to December 2016 were randomly divided into two groups (control group, n = 60) , Test group (n = 60). The patients in the control group were treated with cervical cold knife conization, and the patients in the test group were treated by high-frequency circular electrotome conization. The operative conditions, the incidence of postoperative complications and the postoperative residual rate were compared statistically. Results: The operation time of the experimental group was (13.9 ± 1.9) min and the intraoperative blood loss was (10.5 ± 1.8) mL, which was significantly lower than that of the control group (30.4 ± 2.3) min and (43.5 ± 2.0) mL, respectively Statistical significance (P <0.05). The incidence of postoperative complications in the experimental group was 13.3%, and the residual rate after the operation was 3.3%. The difference was not statistically significant (P> 0.05) compared with 20.0% and 5.0% of the control group. Conclusion: In the treatment of patients with grade Ⅱ cervical intraepithelial neoplasia, the clinical effect of cervical high frequency electric knife conization is better, which can significantly shorten the operation time and reduce the amount of intraoperative blood loss, which is safe and effective. It is worthwhile Clinical widely used and universal.