子宫颈环形电切术和普通电刀宫颈锥切术治疗宫颈疾病的优劣差异

陈秀华

[摘要] 目的 探討宫颈环形电切术和普通电刀宫颈锥切术治疗宫颈疾病的临床效果。 方法 将2013年1月～2016年12月在医院接受治疗的60例宫颈疾病患者按照随机数字表法平均分为两组，30例患者采用普通电刀宫颈锥切术治疗（对照组），30例给予宫颈环形电切术治疗（研究组）。将两组患者临床疗效、术中及术后临床指标、并发症发生情况进行比较。 结果 研究组患者临床总有效率96.66%显著高于对照组76.66%，差异有统计学意义（P<0.05）。研究组患者手术时间显著短于对照组（P<0.05），术中出血量、脱痂期出血量显著少于对照组（P<0.05），阴道排液量显著多于对照组（P<0.05），研究组患者粘连发生率（13.33%）显著低于对照组，差异有统计学意义（P<0.05）。 结论 在宫颈疾病患者治疗中选择宫颈环形电切术治疗治疗有效率高，对患者损伤小，术后恢复速度快，且并发症发生率低，值得在临床上推广使用。

[关键词] 宫颈疾病；子宫颈环形电切术；普通电刀宫颈锥切术；疗效

[中图分类号] R713.4 [文献标识码] A [文章编号] 2095-0616（2017）14-76-03

Advantages and disadvantages of loop electrosurgical excision procedure and general electric knife conization in the treatment of cervical diseases

CHEN Xiuhua

Department of Obstetrics and Gynecology，the Futian District Second People's Hospital，Shenzhen 518000，China

[Abstract] Objective To explore the clinical effect of loop electrosurgical excision procedure and general electric knife conization in the treatment of cervical diseases. Methods 60 cases of cervical diseases cued in our hospital from January 2013 to December 2016 were selected and randomly divided into two groups with 30 cases in each.Patients in control group were treated with general electric knife conization of cervix，and patients in study group were treated with loop electrosurgical excision procedure.Clinical efficacy，intraoperative and postoperative clinical parameters，complications of the two groups were compared. Results The total effective rate of the study group （96.66%） was significantly higher than that of the control group （76.66%），the differences were statistically significant （P<0.05）.In the study group，the operation time was significantly shorter than that in the control group，the differences were statistically significant （P<0.05），the amount of bleeding during operation and the amount of bleeding during the dissolution stage were significantly less than those in the control group，the differences were statistically significant （P<0.05），the amount of vaginal drainage was significantly higher than that of the control group （P<0.05）.The incidence of adhesions in the study group （13.33%） was significantly lower than that in the control group 0，the differences were statistically significant （P<0.05）. Conclusion In the treatment of cervical disease patients，cervical loop electrosurgical excision procedure has high efficiency，less damage to patients，and the postoperative recovery rate is rapid，the incidence of complications is low.It is worth popularizing in clinic.

[Key words] Cervical disease；Loop electrosurgical excision procedure；General electric knife conization；Curative effect

宫颈疾病是临床中常见的妇科疾病，具有较高的发病率，对妇女健康造成严重影响。宫颈疾病主要包括宫颈上皮内瘤变、宫颈赘生物及宫颈糜烂等，随着HPV等病毒感染，宫颈疾病的发病率逐年上升[1]。近年来，治疗宫颈疾病的方式有药物、微波、激光等，但效果不太理想。都存在一定局限[2]。宫颈环形电切术由法国学者在1981年首次报道，其主要采用高电流、低电压及细小的环形电刀进行治疗，其具有耗时短、操作简便、对患者损伤小，术后并发症几率低等优点[3-4]，目前广泛应用于临床宫颈疾病治疗中。为探讨宫颈环形电切术和普通电刀宫颈锥切术治疗宫颈疾病的临床效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2013年1月～2016年12月在医院接受治疗的60例宫颈疾病患者作为本次研究对象，两组患者均有HPV高危阳性，并予以阴道镜检查，按照随机数字表法平均分为研究组30例和对照组30例。……