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宫颈环形电切术治疗宫颈癌前病变的疗效评价 被引量:5

Evaluation of Cervical Circular Resection for Cervical Precancerous Lesions
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摘要 目的对宫颈癌前病变采用宫颈环形电切术治疗的效果进行探究。方法选择该院收治的宫颈癌前病变患者70例作为该次研究纳入的研究对象,选取时间段为2017年6月—2019年3月,将这些患者划分为常规治疗组和环形电切组,每组各有35例。通过宫颈冷刀锥切术对常规治疗组患者予以治疗,采用宫颈环形电切术对环形电切组予以治疗。在治疗结束后,对两组患者的治疗效果进行观察和比较。结果环形电切组的总有效率97.1%略高于常规治疗组总有效率91.4%,但两组比较差异无统计学意义(χ^2=0.327,P>0.05)。环形电切组的手术时间(12.9±1.4)min,术中出血量(12.1±1.6)mL明显优于常规治疗组的手术时间(26.1±3.8)min,术中出血量(22.4±3.1)mL(t=3.346、3.773,P<0.05)。环形电切组并发症发生率(5.7%)明显优于常规治疗组并发症发生率(25.7%)(χ^2=6.831,P<0.05)。结论通过宫颈环形电切术治疗宫颈癌前病变具有很好的效果,可以促进患者的术后恢复,而且还可以有效地减少并发症发生率。 Objective To explore the effect of cervical resection of cervical precancerous lesions.Methods Seventy patients with cervical precancerous lesions treated in our hospital were selected as the research subjects included in this study.The period of time was from June 2017 to March 2019.These patients were divided into conventional treatment group and circular resection group.There were 35 cases in each group.Patients in the conventional treatment group were treated by cervical cold knife cone resection.Cervical ring resection was used in the circular resection group.After the treatment,the treatment effects of the two groups of patients were observed and compared.Results The total effective rate of the circular resection group was 97.1%,which was slightly higher than that of the conventional treatment group of the total effective rate was 91.4%,but the comparison between the two groups was not statistically significant,and the test was performed(χ^2=0.327,P>0.05).The operation time of the circular resection group was(12.9±1.4)min,and the intraoperative blood loss(12.1±1.6)mL was significantly better than that of the conventional treatment group(26.1±3.8)min.The intraoperative blood loss(22.4±3.1)mL.The comparison between the two groups of patients was tested(t=3.346,3.773,P<0.05).The incidence of complications(5.7%)in the circular resection group was significantly better than that in the conventional treatment group(25.7%).The comparison between the two groups was tested(χ^2=6.831,P<0.05).Conclusion Cervical resection of the cervical precancerous lesions has a good effect,can promote postoperative recovery,and can effectively reduce the incidence of complications.
作者 鲁延荣 宋珍 LU Yan-rong;SONG Zhen(Department of Obstetrics and Gynecology,Yanggu County People's Hospital,Yanggu,Shandong Province,252300 China)
出处 《系统医学》 2020年第8期16-18,共3页 Systems Medicine
关键词 宫颈癌前病变 宫颈环形电切术 宫颈冷到锥切术 疗效 手术指标 并发症 Cervical precancerous lesions Cervical circular resection Cervical cold to cone resection Efficacy Surgical indicators Complications
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