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目的比较宫腔镜宫颈病变电切术(TCRC)与宫颈环形电切术(LEEP)治疗低级别宫颈上皮内瘤变(CIN)的临床疗效。方法 84例低级别CIN患者(≤CINⅡ),分别采用TCRC与LEEP进行治疗,观察2组手术时间、术中出血量、术后出血及排液时间、创面愈合时间及病理诊断符合率。结果 TCRC组术中出血量少于LEEP组[(5.3±1.7)mL vs.(10.2±5.0)mL,P<0.05],术后2组出血及排液时间、创面愈合时间、病理诊断符合率、宫颈狭窄发生率比较均无统计学意义。结论 TCRC和LEEP是治疗低级别CIN的有效方法,TCRC在术中出血及对宫颈深部病变者术后优于LEEP。
Objective To compare the clinical effects of hysteroscopic cervical lesions (TCRC) and cervical ring excision (LEEP) in the treatment of low-grade cervical intraepithelial neoplasia (CIN). Methods Eighty - four patients with low grade CIN (≤CIN Ⅱ) were treated with TCRC and LEEP respectively. The operation time, intraoperative blood loss, postoperative bleeding and drainage time, wound healing time and coincidence rate of pathological diagnosis were observed. Results The bleeding volume in TCRC group was less than that in LEEP group [(5.3 ± 1.7) mL vs. (10.2 ± 5.0) mL, P <0.05]. The postoperative bleeding and drainage time, wound healing time, pathological diagnosis coincidence rate The incidence of cervical stenosis were not statistically significant. Conclusions TCRC and LEEP are effective methods for the treatment of low-grade CIN. TCRC is superior to LEEP in intraoperative bleeding and postoperative cervical deep lesions.