应用利普刀治疗慢性宫颈炎的临床疗效观察(1)
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[摘要] 目的 探讨利普刀治疗慢性宫颈炎的临床疗效。 方法 随机将160例慢性宫颈炎患者分为两组，80例(对照组)行微波治疗，80例(观察组)行利普刀治疗，比较两组患者治疗效果。 结果 观察组及对照组的手术时间分别为(7.21±3.75)min、(13.58±4.33)min，两者比较差异有统计学意义(P < 0.05)；术中出血量分别为(6.21±2.03)mL、(11.76±1.95)mL，两者比较差异有统计学意义(P < 0.05)；治愈率分别为96.25%、90.00%，两者比较差异有统计学意义(P < 0.05)。 结论 利普刀治疗慢性宫颈炎疗效显著，治愈率高，且可缩短患者手术时间，减少术中出血量。
[关键词] 慢性宫颈炎；利普刀；微波；疗效
[中图分类号] R713.4 [文献标识码] A [文章编号] 1673-7210(2012)01(c)-0061-02
Clinical effect of LEEP in the treatment of chronic cervicitis
YANG Yanling
Department of Gynaecology and Obstetrics, the People's Hospital of Mengzi City, Yunnan Province, Mengzi 661100, China
[Abstract] Objective To investigate clinical effect of LEEP in the treatment of chronic cervicitis. Methods 160 cases of chronic cervicitis patients were divided into two groups, 80 cases of patients in the control group were administered with microwave treatment, 80 cases of patients in the observation group were administered with LEEP, the clinical effect of two groups was compared. Results The operative time of the observation group and control group was (7.21±3.75) min and (13.58±4.33) min respectively, the difference was statistically significant (P < 0.05). Blood loss was (6.21±2.03) mL and (11.76±1.95) mL respectively, the difference was statistically significant (P < 0.05). Cure rates were 96.25% and 90.00% respectively, the difference was statistically significant (P < 0.05). Conclusion LEEP in the treatment of chronic cervicitis has significant effect, and high cure rate, which can reduce the operative time and blood loss.
[Key words] Chronic cervicitis; LEEP; Microwave; Curative effect
慢性宫颈炎是妇科常见病、多发病，亦是宫颈癌前病变的高发症候群，该病好发于已婚育龄妇女，其临床症状常给患者带来极大的身心痛苦。以往临床治疗慢性宫颈炎常采用微波、阴道上药、冷冻等方法，使其糜烂面表皮细胞坏死、结痂、脱落，新生上皮覆盖而达到治疗的目的[1-3]。然而这些方法不仅治疗深度有限，而且治愈率低、易复发，常给患者带来反复治疗的痛苦。利普刀因操作简单、手术时间短、出血少等优点，自20世纪90年代已普遍用于治疗宫颈病变[4]。为探讨利普刀治疗慢性宫颈炎的临床疗效，本研究对160例慢性宫颈炎患者分别采用利普刀或微波治疗，现将研究过程及结果报道如下：
1 资料与方法
1.1 一般资料
160例慢性宫颈炎患者均为2010年1~12月就诊于我院妇科门诊，诊断标准参照乐杰主编的6版《妇产科学》[5]。以上患者均无生育要求，且血常规、凝血象、盆腔、白带常规检查正常，液基薄层细胞检测(TCT)或病理检查无宫颈恶性病变。
160例慢性宫颈炎患者随机分为两组：对照组80例；年龄23~55岁，平均34.5岁；绝经者7例，全部为经产妇；病程0.5~4.7年，平均2.4年；58例为Ⅱ~Ⅲ度宫颈糜烂；19例为宫颈肥大伴纳囊，3例为宫颈管息肉样增生。观察组80例；年龄24~53岁，平均33.7岁；绝经者9例 ......
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