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目的:比较观察宫腔镜宫颈病变电切术(TCRC)与环形电切术(LEEP)治疗宫颈上皮内瘤样病变(CINⅠ)的疗效。方法:81例CINⅠ患者随机分为TCRC组47例与LEEP组34例,术后观察疗效。结果:TCRC组术中出血量明显少于LEEP组(P<0.01),手术时间及手术残留、治愈、并发症发生率等两组比较差异无统计学意义(P>0.05)。结论:TCRC切除病灶和术中止血优势明显,值得临床推广。
Objective: To compare the curative effect of hysteroscopic cervical lesion resection (TCRC) and circumferential electrosurgery (LEEP) in the treatment of cervical intraepithelial neoplasia (CINⅠ). Methods: Eighty-one patients with CINⅠ were randomly divided into TCRC group (n = 47) and LEEP group (n = 34). The curative effect was observed after operation. Results: The blood loss in TCRC group was significantly less than that in LEEP group (P <0.01). There was no significant difference between the two groups in operation time, residual operation, cure and complication rate (P> 0.05). Conclusion: TCRC resection lesions and intraoperative hemostasis obvious advantages, worthy of clinical promotion.