摘要
目的研究LEEP术在宫颈上皮内瘤变中的应用价值。方法方便选取2014年3月—2017年5月该院收治的60例宫颈上皮内瘤变患者作为研究对象,回顾性分析该60例患者的病历资料,按照治疗方式的不同将患者分成两组,一组采用CKC术治疗,为常规组,另一组采用LEEP术进行治疗,为研究组,对比分析两组患者的治疗效果。结果研究组的治疗有效率为93.33%(28例),复发占比6.67%(2例),常规组的治疗有效率为90.00%(27例),残留占比10.00%(3例),两组患者治疗有效率对比差异无统计学意义(χ~2=0.2182,P>0.05);研究组术中出血量为(10.7±5.7)m L,手术时间为(14.6±7.6)min,各项数据与对照组相比差异有统计学意义(t=9.661 8、6.258 6,P<0.05);研究组患者术后并发症发生率为3.33%(1例),不良妊娠事件发生率为10.00%(3例),常规组患者术后并发症发生率为20.00%(6例),不良妊娠事件发生率为33.33%(10例),各项数据对比差异有统计学意义(χ~2=4.043 1、4.811 8,P<0.05)。结论 LEEP术治疗宫颈上皮内瘤变与传统CKC术治疗疗效并无明显差异,但手术操作更具优势,患者出血量小,手术时间短,且术后并发症较小,对妊娠结局的影响作用也更小,因此临床应用价值更高。
Objective This paper tries to study the application value of LEEP intraepithelial neoplasia. Methods 60 cases of cervical intraepithelial neoplasia treated in this hospital from March 2014 to May 2017 were convenient selected as the study subjects. The medical records of the 60 patients were retrospectively analyzed. The patients were divided into two groups according to different treatment methods. The CKC operation was used in the conventional group, and the study group was treated with LEEP. The therapeutic effects of the two groups of patients were compared. Results The effective rate in the study group was 93.33%（28 cases）, the recurrence rate was 6.67%（2 cases）, the conventional group was 90.00%（27 cases）, and the residual rate was 10.00%（3 cases）. The efficiency of treatment was not statistically significant（χ2=0.2182,P〈0.05）.The intraoperative blood loss in the study group was（10.7±5.7）m L, and the operation time was（14.6±7.6） min.The data were statistically significant compared with the control group（t=9.661 8,6.258 6,P〈0.05）; The incidence of postoperative complications in the patients was 3.33%（1 case）, the incidence of adverse pregnancy events was 10.00%（3 cases）,the incidence of postoperative complications in the conventional group was 20.00%（6 cases）, adverse pregnancy events occurred was 33.33%（10 cases）. There was a statistically significant difference between the data（χ2=4.043 1,4.811 8,P〈0.05）.Conclusion LEEP surgery for cervical intraepithelial neoplasia is not significantly different from conventional CKC. However, surgical procedures are more advantageous. Patients have less bleeding, shorter operative time, and less postoperative complications. They also have smaller impact on pregnancy outcomes, so the clinical application of higher value.
作者
徐红文
XU Hong-wen(Department of Obstetrics and Gynecology,Changshu Hospital of Traditional Chinese Medicine,Changshu,Jiangsu Province,215500 China)
出处
《中外医疗》
2018年第15期65-67,共3页
China & Foreign Medical Treatment
关键词
LEEP术
宫颈上皮内瘤变
CKC
LEEP operation
Cervical intraepithelial neoplasia
CKC
