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目的:观察宫颈环形电切术治疗宫颈上皮内瘤变的临床疗效。方法:选择浙江省金华市妇幼保健院2009年2～9月收治的宫颈上皮内瘤变患者46例,随机分为观察组和对照组各23例,观察组采用宫颈病变环形电切术进行治疗,对照组采用冷刀锥切进行治疗,对两组患者的临床效果进行比较。结果:两组患者的手术时间及术中不良反应发生率比较,差异无统计学意义(P>0.05);观察组患者的术中出血量明显少于对照组,差异有统计学意义(P<0.05);两组患者术后排液及出血时间比较,差异无统计学意义(P>0.05);两组患者术后创面感染率及宫颈狭窄发生率差异无统计学意义(P>0.05),但观察组患者的创面愈合时间明显短于对照组,差异有统计学意义(P<0.05)。结论:宫颈病变环形电切术是目前诊治C IN病变安全有效的方法,值得进一步深入研究。
Objective: To observe the curative effect of cervical circumcision on cervical intraepithelial neoplasia. Methods: Forty-six patients with cervical intraepithelial neoplasia who were admitted to Jinhua Maternal and Child Health Hospital of Zhejiang Province from February to September 2009 were randomly divided into observation group (23 cases) and control group (23 cases). The observation group was treated by ring electrotomy , The control group with cold knife taper cut for treatment, the clinical effect of two groups of patients were compared. Results: There was no significant difference in operative time and incidence of adverse reactions between the two groups (P> 0.05). The intraoperative blood loss in the observation group was significantly less than that in the control group (P < 0.05). There was no significant difference between the two groups in postoperative drainage and bleeding time (P> 0.05). There was no significant difference between the two groups in the incidence of postoperative wound infection and the incidence of cervical stenosis (P> 0.05) However, the wound healing time in the observation group was significantly shorter than that in the control group, with significant difference (P <0.05). Conclusion: Cervical lesion circumcision is the safe and effective method for the diagnosis and treatment of C IN. It is worth further study.