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目的探讨利普刀治疗慢性宫颈炎伴宫颈糜烂的临床效果。方法选取全州县中医医院2015年11月—2016年10月收治的慢性宫颈炎伴宫颈糜烂患者224例,采用随机数字表法分为对照组和观察组,每组112例。对照组患者采用微波疗法,观察组患者实施利普刀治疗。比较两组患者的临床疗效、手术时间、术中出血量、术后排液时间,观察患者并发症、复发情况。结果观察组患者治疗总有效率高于对照组(P<0.05)。观察组患者手术时间、术后排液时间短于对照组,术中出血量少于对照组(P<0.05)。两组患者均出现并发症。观察组患者复发率低于对照组(P<0.05)。结论采用利普刀治疗慢性宫颈炎伴宫颈糜烂的临床疗效确切,可有效减少患者术中出血量,促进术后尽早排液,且复发率低,安全性高。
Objective To investigate the clinical effect of Lipu knife in treating chronic cervicitis with cervical erosion. Methods 224 patients with chronic cervicitis and cervical erosion who were treated in Quanzhou County Chinese Medicine Hospital from November 2015 to October 2016 were randomly divided into control group and observation group with 112 cases in each group. The patients in the control group were treated with microwave and the patients in the observation group were treated with Lipp knife. The clinical efficacy, operative time, intraoperative blood loss, postoperative drainage time were compared between the two groups to observe the patient’s complications and recurrence. Results The total effective rate of observation group was higher than that of control group (P <0.05). The operation time and postoperative effusion time in the observation group were shorter than those in the control group, and the amount of blood loss in the observation group was less than that in the control group (P <0.05). Complications occurred in both groups. The recurrence rate in observation group was lower than that in control group (P <0.05). Conclusions The treatment of chronic cervicitis with cervical erosion with Lipu knife has the exact clinical curative effect, which can effectively reduce the intraoperative blood loss, promote the drainage as soon as possible after operation, and the recurrence rate is low and the safety is high.