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目的观察免缝合宫颈冷刀锥切技术的临床效果。方法回顾性分析2011年1月至2013年1月在成都市妇女儿童中心医院妇科接受宫颈冷刀锥切术的宫颈上皮内瘤变(cervical intraepithelial neoplasias,CIN)III或CIN III累及腺体124例患者的临床资料,根据不同手术方式分为研究组(采用免缝合宫颈冷刀锥切技术)和对照组(采用传统的宫颈冷刀锥切术),每组62例,比较两组患者的手术时间、术中出血量、术后出血量、住院天数及术后并发症情况。结果两组患者平均手术时间[分别为(10±2)min、(20±4)min]比较差异有统计学意义(P<0.05);平均术中出血量[分别为(22±5)m L、(23±6)m L]、平均术后出血量[分别为(9±4)m L、(8±3)m L]、术后住院天数[分别为(2.2±0.5)d、(1.8±0.9)d]比较,差异无统计学意义(P>0.05)。术后随访2年,两组患者术后宫颈狭窄、宫颈粘连和早产发生率比较差异无统计学意义(P>0.05)。结论免缝合宫颈冷刀锥切技术能达到传统冷刀锥切术的临床效果,缩短了手术时间。
Objective To observe the clinical effect of surgical treatment of cervical spondylotic cold knife without congenital suture. Methods A retrospective analysis of 124 cases of cervical intraepithelial neoplasias (CIN) III or CIN III-involved glands in Chengdu Women and Children’s Hospital from January 2011 to January 2013 was retrospectively reviewed. The clinical data of the patients were divided into study group (using cold knife conization without cervical suture) and control group (traditional cold knife conization) with 62 cases in each group. The operation of the two groups was compared Time, intraoperative blood loss, postoperative blood loss, hospitalization days and postoperative complications. Results The mean operative time of the two groups was (10 ± 2) min and (20 ± 4) min respectively, with statistical significance (P <0.05). The mean intraoperative blood loss was (22 ± 5) m (23 ± 6) m L and mean postoperative blood loss were (9 ± 4) m L and (8 ± 3) m L, respectively, and postoperative hospital days were 2.2 ± 0.5 days, (1.8 ± 0.9) d], the difference was not statistically significant (P> 0.05). The patients were followed up for 2 years. There was no significant difference in the incidence of cervical stenosis, cervical adhesion and premature labor between the two groups (P> 0.05). Conclusions The technique of cold-knife conization without cervical suture can achieve the clinical effect of traditional cold-knife conization and shorten the operation time.