高频电波刀在子宫颈病变中临床应用

    Use of high-frequency electric-wave knives in treatment of cervical pathological changes

    • 摘要: 目的:评价高频电波刀电圈切除术(LEEP)治疗子宫颈病变的临床价值。方法:将细胞学和阴道镜检查异常的63例子宫颈病变者分成两组,分别采用LEEP (33例)和传统电刀(30例)治疗。结果:LEEP锥切术后3个月行细胞学检查,病变持续存在率6.1%,与传统电刀6.7%相似;手术时间(5.0±0.5) min,较传统电刀(15.0±0.5) min短;术中出血与子宫颈修复时间均少于传统电刀(P<0.01)。结论:LEEP是治疗子宫颈病变的一种操作简单、安全、成功率高的手术,值得临床推广。

       

      Abstract: Objective: To assess the value of loop electrocacctery excision procedure(LEEP) with high-frequency electric-wave knives in treatment of cervical pathological changes.Methods: Sixty-three cases diagnosed abnormal by cytology and colposcopy were divided into LEEP group(33 cases) and traditional electric knife group(30 cases).Results: Cytological examination was performed three months after LEEP operation.The durative existing ratio of pathological changes was 6.1% in the LEEP group,which was similar to 6.7% in the traditional electric knife group.The duration of surgery(5.0±0.5)min of the LEEP group was shorter than that(15.0±0.5)min of traditional electric knife group.Duration of bleeding and time of cervice repairing was shorter in the LEEP group than that in the traditional electric knife group(P<0.01).Conclusions: LEEP is a simple and safe procedure for treatment of cervical pathological changes with a high success rate.It is worth popularizating.

       

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