CAJ | 학술논문

目的观察止血明胶对高频电切(LEEP刀)治疗宫颈上皮内瘤样变(CIN)创面愈合、预防术后出血的临床效果,寻找预防LEEP刀治疗CIN后创面并发症的有效方法.方法 100例宫颈上皮内瘤样变病例,应用LEEP刀手术后,随机分成治疗组60例,对照组40例,治疗组的创面采用止血明胶粘贴,对照组的创面采用纱布填塞,观察术后两组短期阴道出血、感染及宫颈修复情况.结果治疗组60例,阴道出血0例,感染0例,宫颈修复不良0例;对照组40例,短期阴道出血3例,感染2例,宫颈修复不良3例;两组术后阴道出血、感染及宫颈修复不良发生率比较差异有统计学意义(P＜0.05).结论 LEEP刀治疗CIN后,采用止血明胶粘贴处理创面可减少阴道出血、感染及宫颈修复不良并发症的发生.
목적 관찰지혈명효대고빈전절(LEEP도)치료궁경상피내류양변(CIN)창면유합、예방술후출혈적림상효과,심조예방LEEP도치료CIN후창면병발증적유효방법.방법 100례궁경상피내류양변병례,응용LEEP도수술후,수궤분성치료조60례,대조조40례,치료조적창면채용지혈명효점첩,대조조적창면채용사포전새,관찰술후량조단기음도출혈、감염급궁경수복정황.결과 치료조60례,음도출혈0례,감염0례,궁경수복불량0례;대조조40례,단기음도출혈3례,감염2례,궁경수복불량3례;량조술후음도출혈、감염급궁경수복불량발생솔비교차이유통계학의의(P＜0.05).결론 LEEP도치료CIN후,채용지혈명효점첩처리창면가감소음도출혈、감염급궁경수복불량병발증적발생.
Objective To observe the poet-operative clinical inpact on cervical intraepithelial neoplasia surgery by Loop elcctrosurgical excision procedure(LEEP),gelatin paste to improve the healing of the Cut,prevent the post-operative bleeding,and find out effective methods of preventing LEEP complications.Methods 100 patients with cervical intraepithelial neoplasia underwent LEEP in clinic.Divide them into two groups randomly,60 patients were adopted gelatin paste post-LEEP ag the cure group.while 40 patients were adopted as control group.Observation Vaginal bleeding,infection and cervical rear in short-term.Results In 60 patients of cure group,never patients with vaginal bleeding,infection and the cut healing in the short time.In 40 patients of control group,three patients with vaginal bleeding,two patients with infection,and three patients with bad healing.The different between two group with vaginal bleeding,infection and the cut healing time was significant(P＜0.05).Condusion gelatin paste can reduce bleeding.infection and cervical repair bad cmpllcations after cervical intraepithelial neoplasia surgery by LEEP.