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目的:探讨使用高频电波刀做宫颈环形电切术切除宫颈上皮内瘤病变(CIN)术后恢复过程中出现各种临床症状的分析及应对方法。方法:对2004年11月～2008年5月长春市中医院妇科收治的131例经细胞学检查、阴道镜定位活检明确诊断为CINⅠ～Ⅲ级的患者LEEP治疗后在恢复过程中出现的各种情况对症处理进行回顾性的分析。结果:LEEP后出现创面损伤性出血占5.34%,对子宫内膜的损伤性出血占2.29%;月经提前占16.79%,子宫不正常出血占2.29%;宫颈水肿引起短时的宫颈管狭窄引起宫腔积液占24.43%,宫颈水肿引起宫颈管狭窄导致宫腔积液无法排出占0.76%。结论:LEEP对子宫的损伤较小,安全可靠,以对子宫内膜的影响引起月经的异常发生是临床较重的并发症状。术前阴道充分准备使术后不发生感染,但如果不注意外阴部的清洁卫生,很容易感染阴道的炎症至使波及创面。
Objective: To investigate the clinical application of high frequency electric knife in cervical ring excision of cervical intraepithelial neoplasia (CIN) during the recovery process of various clinical symptoms and methods of treatment. Methods: From November 2004 to May 2008, 131 cases of gynecology admitted to Changchun Hospital of Traditional Chinese Medicine by cytology and colposcopy biopsy were diagnosed as CIN Ⅰ ~ Ⅲ grade patients after LEEP treatment in the recovery process of various The symptomatic treatment was retrospectively analyzed. Results: The incidence of traumatic hemorrhage after LEEP accounted for 5.34%, damage to the endometrium bleeding accounted for 2.29%; early menstruation accounted for 16.79%, uterine irregular bleeding accounted for 2.29%; cervical edema caused by short-term cervical stenosis caused by Palace Hydrocephalus accounted for 24.43%, cervical edema caused by cervical canal stenosis caused by uterine effusion can not be discharged accounted for 0.76%. Conclusion: LEEP has less damage to the uterus and is safe and reliable. The abnormal menstruation caused by the influence of endometrium is a serious clinical complication. Vaginal preparation before surgery to prevent postoperative infection, but if you do not pay attention to the genital hygiene, it is easy to infect the vaginal inflammation so that spread to the wound.