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目的探讨腔镜电切术(TCRC)与宫颈环形电切术(LEEP)治疗宫颈上皮内瘤样病变各自的优劣势。方法 2010年1月至2012年1月门诊就诊的100例宫颈上皮内瘤样病变患者,随机分为治疗组、对照组各50例,治疗组应用TCRC,对照组应用LEEP,比较两组的术中出血量、手术时间、术后并发症及治疗疗效。结果治疗组、对照组的治愈率、残留率、持续存在率、复发率、术后并发症、手术时间差异均不明显(P均>0.05);治疗组术中出血量显著少于对照组(P<0.05)。结论 TCRC治疗宫颈上皮内瘤样病变术中出血量明显少于LEEP,在手术时间、术后并发症、治愈率方面TCRC与LEEP接近,临床医师可根据临床实际情况进行方法的选择。
Objective To investigate the advantages and disadvantages of endoscopic electrotomy (TCRC) and cervical ring electrotomy (LEEP) in the treatment of cervical intraepithelial neoplasia. Methods One hundred patients with cervical intraepithelial neoplasia who were treated in clinic from January 2010 to January 2012 were randomly divided into treatment group (50 cases) and control group (50 cases). TCRC was used in the treatment group and LEEP was used in the control group. The amount of bleeding, operation time, postoperative complications and therapeutic effect. Results The cure rate, residual rate, persistence rate, recurrence rate, postoperative complications and operation time of the treatment group and the control group were not significantly different (all P> 0.05); the bleeding volume in the treatment group was significantly less than that in the control group P <0.05). Conclusions TCRC treatment of cervical intraepithelial neoplasia bleeding was significantly less than LEEP, TCRC and LEEP in the operation time, postoperative complications, cure rate close, clinicians can choose the method according to the actual situation.