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电刀与冷刀宫颈锥切术治疗CINⅢ病变的临床比较及手术方式选择 被引量:3

Electrotome Conization and Cold Knife Conization for the Treatment of CIN Ⅲ Lesions of Clinical Comparison and Operation Method Choice
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摘要 目的:讨论电刀与冷刀的宫颈锥切术治疗CINⅢ病变中的临床效果比较以及手术方法的选择。方法:随机选择2013年1月-2014年1月在本院进行CINⅢ病变手术治疗的患者80例作为本次研究的对象,将其平均分为对照组和观察组。对照组采用冷刀宫颈锥切术,观察组采用电刀宫颈锥切术治疗,将术中出血量、手术时间、手术费用、术后并发症作为本次两种手术方法的临床比较指标,进行对比分析。结果:观察组患者的手术时间少于对照组,观察组患者术中的出血量低于对照组,比较差异有统计学意义(P<0.05)。观察组患者进行CINⅢ病变手术治疗的费用与对照组相比,差异有统计学意义(P<0.05)。观察组和对照组患者术后并发症的发生率分别为7.50%、27.50%,比较差异有统计学意义(P<0.05)。结论:在CINⅢ病变治疗中,电刀宫颈锥切术的治疗方法手术时间短、术中出血量小,给患者带来的创伤和经济负担小,术后并发症发生率较低。与冷刀宫颈锥切术的治疗效果进行分析,优势较为突出,所以在CINⅢ病变治疗中,可以选择电刀宫颈锥切术。 Objective:To discuss the electrotome and cold knife for the treatment of the cervical cone cutting CINⅢ lesions in clinical effect comparison and the choice of surgical methods.Method: To randomly select from January 2013 to January 2014, conduct in our hospital CINⅢ lesions of surgical treatment of 80 patients, as the research object, were averagely divided into control group and observation group. The control group was treated by cervical cone of cold knife cut method, the observation group was treated by electric knife for the treatment of the cervical cone cutting, the intraoperative blood loss, operative time, surgery, postoperative complications as a clinical comparison of this two methods of operation, were analyzed.Result: The operation time and perioperative blood loss of the observation group were less than those of the control group, and there were significant differences (P〈0.05). Surgical treatment cost of the observation group compared with the control group was significant difference (P〈0.05). The complications incidence of observation group and control group was 7.50%, 27.50%, respectively, and there were significant difference (P〈0.05).Conclusion: In the CINⅢ lesions treatment, electrotome cervical cone cut method of treatment of shorter operation time, intraoperative blood loss is small, small trauma and the economic burden for patients, the incidence of postoperative complications is low. With the cervical cone of cold knife cut method of the treatment effect is analyzed, advantage is obvious, so in the CINⅢ lesions treatment, can choose the electrotome cervical cone cut method of treatment.
作者 付文爱
出处 《中国医学创新》 CAS 2014年第25期62-65,共4页 Medical Innovation of China
关键词 电刀宫颈锥切术 冷刀宫颈锥切术 CINⅢ病变 治疗效果 CIN Electrotome knife conization Cold knife conization Clinical effect
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