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目的分析在Ⅱ、Ⅲ级宫颈上皮内瘤变(CIN)治疗中宫颈环形电切术(LEEP)的临床应用价值。方法 80例Ⅱ~Ⅲ级CIN患者作为观察对象,随机将其分为对照组和观察组,各40例。对照组接受宫颈冷刀锥切术(CKC)治疗,观察组接受LEEP治疗。对比两组手术时间、术中出血量、住院时间及宫颈愈合时间,并分析两组术后并发症的发生率。结果观察组术中出血量明显少于对照组,手术时间明显短于对照组,差异有统计学意义(P<0.05),而两组住院时间及宫颈愈合时间比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 LEEP可显著改善Ⅱ~Ⅲ级CIN的手术相关情况,并降低术后并发症发生率,值得临床推荐。
Objective To analyze the clinical value of cervical ring electrosurgical excision (LEEP) in the treatment of grade Ⅱ and Ⅲ cervical intraepithelial neoplasia (CIN). Methods Eighty patients with grade Ⅱ ~ Ⅲ CIN were randomly divided into control group and observation group, 40 cases in each. Control group received cervical cold knife conization (CKC) treatment, observation group received LEEP treatment. The operation time, intraoperative blood loss, hospital stay and cervical healing time were compared between the two groups. The incidence of postoperative complications was also analyzed. Results The bleeding volume in the observation group was significantly less than that in the control group, and the operation time was significantly shorter than that in the control group (P <0.05). There was no significant difference between the two groups in hospitalization time and cervical healing time (P > 0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusions LEEP can significantly improve the operation of CIN grade Ⅱ ~ Ⅲ, and reduce the incidence of postoperative complications, it is worth recommending.