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LEEP刀与电刀锥切治疗宫颈上皮内瘤变的疗效比较

姜小予

中国医药科学Issue(8):208-210,213,4.
中国医药科学Issue(8):208-210,213,4.

LEEP刀与电刀锥切治疗宫颈上皮内瘤变的疗效比较

The comparison of LEEP cutter and the electric knife conization efficacy in the treatment of cervical intraepithelial neoplasia

姜小予1

作者信息

  • 1. 江苏省海门市第四人民医院妇产科,江苏海门226141
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摘要

Abstract

Objective To observe and contrast the cervical LEEP (LEEP) and cervical conization for cervical intraepithelial neoplasia (CIN) clinical efficacy, and investigate the suitable method of treatment of cervical intraepithelial neoplasia. Methods 100 patients with CIN in our hospital in recent years were randomly divided into the treatment group and the control group by double blind method, the treatment group was treated with LEEP knife, the control group was treated with conization treatment, there was 50 patients in each group. The occurrence rates of the clinical efficacy and adverse reactions of two groups were compared. Results The operation time, healing time and hospitalization time in treatment group were shorter than that in the control group, had low rate of postoperative complications and intraoperative hemorrhage, the two groups had significant difference (P<0.05);Before and after operation pathologic examination results rate comparison, two groups had little difference, but a positive margin rate higher than the treatment group; long-term effect, for CIN 1, 2 of the two groups of patients had similar effect, but for patients with CIN stage 3 recurrence rate was lower than that of the control group (P<0.05 group), two groups of patients with after persistent high-risk HPV infection rate was no significant difference (P > 0.05). Conclusion LEEP knife treatment of cervical intraepithelial neoplasia method has the advantages of simple operation, short time, low cost, and less bleeding, postoperative cervical rapid recovery, fewer complications, safe and effective, easy to be accepted by patients, and is worthy of promotion. But for CIN 3 of the patients, in order to reduce relapse, still can choose electric knife cone traditional resection.

关键词

LEEP刀/子宫颈电刀锥切术/宫颈上皮内瘤变/疗效比较

Key words

LEEP knife/Cervical conization/Cervical intraepithelial neoplasia/Curative effect

分类

医药卫生

引用本文复制引用

姜小予..LEEP刀与电刀锥切治疗宫颈上皮内瘤变的疗效比较[J].中国医药科学,2014,(8):208-210,213,4.

中国医药科学

2095-0616

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