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目的观察矾冰液治疗慢性宫颈炎LEEP刀术后并发症的临床疗效。方法 将90例患者随机分为矾冰液组、云南白药组和对照组,每组30例。随访5次后从患者阴道排液、流血的持续时间和量,创面愈合时间,宫颈粘连、术后再次止血及感染发生率来判断疗效。结果 12周后复查,3组患者(除失访者外)的宫颈创面完全愈合,其治愈率为100%。矾冰液组与对照组相比,其术后阴道排液、流血的时间和量,创面愈合时间均具有显著性差异(P<0.01);矾冰液组与云南白药组相比,阴道排液、流血的时间和量,创面愈合时间均有差异(P<0.05);云南白药组与对照组相比,其阴道排液时间和量具有显著性差异(P<0.01),而阴道流血时间和量,创面愈合时间亦有差异(P<0.05)。临床观察过程中无1例患者出现感染、宫颈粘连及需术后再次止血。结论 LEEP刀术后使用矾冰液,有效的缩短了术后阴道流血、排液的时间和量,加快了宫颈创面愈合时间,减少了并发症的发生。
Objective To observe the clinical efficacy of alum ice fluid in the treatment of postoperative complications of LEEP with chronic cervicitis. Methods 90 patients were randomly divided into alum ice liquid group, Yunnan Baiyao group and control group, 30 cases in each group. Follow-up 5 times from the patient vaginal discharge, the duration and volume of bleeding, wound healing time, cervical adhesions, postoperative hemostasis and the incidence of infection to determine the efficacy. The results of 12 weeks after the review, three groups of patients (except lost ones) cervical wound completely healed, the cure rate was 100%. Compared with the control group, the alum cryogenic fluid group had significant differences in vaginal discharge, bleeding time and wound healing time (P <0.01). Compared with the Yunnan Baiyao group, vaginal discharge (P <0.05). Compared with the control group, the time and volume of vaginal discharge in Yunnan Baiyao group were significantly different (P0.01), while the vaginal bleeding time And the amount of wound healing time is also different (P <0.05). None of the patients in the course of clinical observation of infection, cervical adhesions and need to stop bleeding again after surgery. Conclusion LEEP knife using alum ice fluid, effectively reducing the postoperative vaginal bleeding, the time and amount of drainage to speed up the healing time of cervical wound and reduce the incidence of complications.