摘要
目的:探讨宫颈管内镜下宫颈锥切术治疗高级别宫颈上皮内瘤变(CIN)的临床效果。方法:选取中国航天科工集团七三一医院2019年6月-2021年1月104例高级别CIN患者。按照随机数字表法将其分为对照组(n=52)和观察组(n=52)。对照组给予传统宫颈冷刀切除术治疗,观察组给予宫颈管内镜下宫颈锥切术治疗。观察两组临床疗效、围手术期情况及并发症。结果:观察组治愈率(75.00%)高于对照组(48.08%),半年后复发率(5.13%)低于对照组(32.00%)(P<0.05)。两组手术时间及伤口愈合时间对比差异均无统计学意义(P>0.05),观察组术中出血量少于对照组,住院时间短于对照组(P<0.05)。观察组并发症发生率(7.69%)低于对照组(23.08%)(P<0.05)。结论:宫颈管内镜下宫颈锥切术治疗高级别CIN可显著减少术中出血量、缩短住院时间,降低术后并发症的发生,从而提高临床效果,且不影响手术时间及伤口愈合时间。
Objective:To explore the clinical effect of cervical conization under cervical canal endoscopy in the treatment of high-grade cervical intraepithelial neoplasia (CIN).Method:A total of 104 patients with high-grade CIN were selected from 731 Hospital of China Aerospace Science and Industry Corporation from June 2019 to January 2021.According to random number table method,they were divided into control group (n=52) and observation group (n=52).The control group was treated with traditional cervical cold knife resection,and the observation group was treated with endoscopic cervical conization.The clinical efficacy,perioperative conditions and complications of the two groups were observed.Result:The cure rate of the observation group (75.00%) was higher than that of control group (48.08%),and the recurrence rate after half a year (5.13%) was lower than that of control group (32.00%) (P<0.05).There were no significant differences in the operation time and wound healing time in the two groups (P>0.05),the amount of intraoperative blood loss in the observation group was less than that in the control group,and the hospital stay was shorter than that in the control group (P<0.05).The incidence of complication of observation group (7.69%) was lower than that of the control group (23.08%) (P<0.05).Conclusion:Cervical conization under cervical canal endoscopy in the treatment of high-grade CIN can significantly reduce intraoperative blood loss,shorten hospital stay,and reduce the occurr of postoperative complications,thereby improving clinical efficacy without affecting the operation time and wound healing time.
作者
韩晓佳
HAN Xiaojia(731 Hospital of China Aerospace Science and Industry Corporation,Beijing 100074,China)
出处
《中外医学研究》
2022年第9期127-129,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
宫颈锥切术
宫颈管内镜
高级别
宫颈上皮内瘤变
Cervical conization
Cervical canal endoscopy
High-grade
Cervical intraepithelial neoplasia
