CAJ | 학술논문

目的：对比研究宫颈环形电切术（LEEP）与宫颈冷刀锥切术（CKC）治疗宫颈上皮内瘤变（CIN）Ⅱ~Ⅲ的临床效果。方法选取2012年8月至2014年1月收治的85例CINⅡ~Ⅲ级患者为研究对象，按照治疗方法不同随机将其分为两组，即LEEP组和CKC组。观察分析两组患者的手术情况、并发症情况和复发情况。结果 LEEP组脱痂期出血量、术中出血量、手术时间和切口愈合时间均优于CKC组，除脱痂期出血量比较两组差异无显著性（ P >0.05）外，其余各项指标两组比较差异具有显著性（ P <0.01）。LEEP组术后并发症发生率8.9%低于CKC组的15.0%，但差异无显著性（ P >0.05）。LEEP组复发率2.2%低于CKC组5.0%，但差异无无显著性（ P >0.05）。结论同CKC比较而言，CINⅡ~Ⅲ级患者采用LEEP治疗，手术创伤小，手术操作简单，可减少手术出血量，缩短住院时间，降低住院费用，术后患者身体恢复快，切口愈合时间短，LEEP更具有优势。
목적：대비연구궁경배형전절술（LEEP）여궁경냉도추절술（CKC）치료궁경상피내류변（CIN）Ⅱ~Ⅲ적림상효과。방법선취2012년8월지2014년1월수치적85례CINⅡ~Ⅲ급환자위연구대상，안조치료방법불동수궤장기분위량조，즉LEEP조화CKC조。관찰분석량조환자적수술정황、병발증정황화복발정황。결과 LEEP조탈가기출혈량、술중출혈량、수술시간화절구유합시간균우우CKC조，제탈가기출혈량비교량조차이무현저성（ P >0.05）외，기여각항지표량조비교차이구유현저성（ P <0.01）。LEEP조술후병발증발생솔8.9%저우CKC조적15.0%，단차이무현저성（ P >0.05）。LEEP조복발솔2.2%저우CKC조5.0%，단차이무무현저성（ P >0.05）。결론동CKC비교이언，CINⅡ~Ⅲ급환자채용LEEP치료，수술창상소，수술조작간단，가감소수술출혈량，축단주원시간，강저주원비용，술후환자신체회복쾌，절구유합시간단，LEEP경구유우세。
Objective Comparativestudyonclinicalresultsofcervicalloopelectrosurgicalexcisionprocedure(LEEP)andcervicalcold knifeconization(CKC)incervicalintraepithelialneoplasia(CIN)Ⅱ~Ⅲinpatients.Methods 85casesofCINⅡ~Ⅲgradepatientsfrom August 2012 to January 2014 were treated for the study,according to the different treatments were randomly divided into two groups,namely LEEP groupandCKCgroup.Toobserveandanalysethesurgicalcase,complicationsandrecurrence.Results Thescabofbleeding,bloodloss,opera-tive time,and wound healing time in LEEP group were better than CKC group,but scab of bleeding was no significant difference between the two groups,the rest of the indicators the difference was significant( P <0. 01). The postoperative complication rate and the recurrence rate were all lowerthanCKCgroup,butthedifferencewerenotstatisticallysignificant(P>0.05).Conclusion IncomparisonwiththeCKC,CINⅡ~Ⅲpatients with LEEP treatment,surgical trauma,simple operation,can reduce surgical blood loss,shorter hospital stays and lower hospital costs, faster recovery after surgery the patient's body,wound healing time is short,LEEP more advantages.