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目的分析对比在宫颈上皮内瘤变的治疗中应用冷刀宫颈锥切术(CKC)与宫颈环形电切术(LEEP)的疗效。方法随机抽取2013年1月~2014年1月宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)病患156例,按入院时间分组治疗,A组80例,治疗采用宫颈环形电切术。B组76例,治疗采用冷刀宫颈锥切术,记录手术时间、术中出血、住院天数、术后出血、并发症。结果 A组统计后的手术时间、术中出血及住院天数都比B组少,显著差异(P<0.05);两组的并发症和治疗效果差异无显著性(P>0.05)。结论在宫颈上皮内瘤变的治疗中应用冷刀宫颈锥切术与宫颈环形电切术的效果无明显差异,但宫颈环形电切术在手术时间、术中出血及住院天数上有优势,且操作简单、并发症少。
Objective To compare the curative effect of cold knife cervical conization (CLC) and cervical ring excision (LEEP) in the treatment of cervical intraepithelial neoplasia. Methods 156 patients with cervical intraepithelial neoplasia (CIN) were randomly selected from January 2013 to January 2014 and were divided into groups according to the time of admission. Group A (n = 80) was treated by cervical ring excision. B group 76 cases, the treatment of cold knife cervical conization, recording the operation time, intraoperative bleeding, hospitalization days, postoperative bleeding, complications. Results The operation time, intraoperative bleeding and hospital stay in group A were less than those in group B (P <0.05). There was no significant difference in the complication and treatment between the two groups (P> 0.05). Conclusions There is no significant difference in the application of cold knife cervical conization and cervical ring excision in the treatment of cervical intraepithelial neoplasia. However, the cervical ring resection has advantages in operation time, intraoperative bleeding and hospitalization days, and Simple operation, fewer complications.