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目的:观察利普刀治疗宫颈病变的临床效果。方法:选取2012年1月至2013年12月到该院门诊就诊的118例宫颈病变患者,经妇科检查、宫颈液基细胞学检查、阴道镜及宫颈活检初步诊断为不同类型宫颈疾病的患者采用利普刀手术切除病变组织。标本均送病理学检查。记录患者的手术时间、术中出血量以及术后病理检查结果,并随访术后宫颈恢复情况。结果:患者手术时间6~18 min,平均8.65 min;术中出血量10~55 ml,平均18.24 ml。术后111例病理学检查结果与术前一致,相符率94.06%。术后2月复查,113例患者宫颈恢复正常,外观光滑,治愈有效率为94.91%。结论:采用利普刀治疗宫颈病变,术中出血量少,手术时间短,治愈率高,无疤痕形成,疗效显著,具有较高的临床推广价值。
Objective: To observe the clinical effect of Lipu knife in treating cervical lesions. Methods: A total of 118 cases of cervical lesions from January 2012 to December 2013 in our outpatient clinic were selected by gynecological examination, cervical liquid-based cytology, colposcopy and cervical biopsy for different types of cervical diseases Lipp knife surgery to remove diseased tissue. Specimens were sent for pathological examination. The patient’s operation time, intraoperative blood loss and postoperative pathological findings were recorded and the postoperative recovery of the cervix was recorded. Results: The operation time was 6-18 min (mean 8.65 min). The intraoperative blood loss was 10-55 ml (average 18.24 ml). Postoperative 111 cases of pathological findings consistent with the preoperative, consistent rate of 94.06%. After 2 months of review, 113 patients returned to normal cervix, smooth appearance, the cure rate was 94.91%. Conclusion: The treatment of cervical lesions with Lipu knife, less blood loss, shorter operative time, high cure rate, no scar formation, significant effect, with high clinical value.