中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
25期
62-64,65
,共4页
电刀宫颈锥切术%冷刀宫颈锥切术%CINⅢ病变%治疗效果
電刀宮頸錐切術%冷刀宮頸錐切術%CINⅢ病變%治療效果
전도궁경추절술%냉도궁경추절술%CINⅢ병변%치료효과
Electrotome knife conization%Cold knife conization%CIN Ⅲ%Clinical effect
目的：讨论电刀与冷刀的宫颈锥切术治疗CINⅢ病变中的临床效果比较以及手术方法的选择。方法：随机选择2013年1月-2014年1月在本院进行CINⅢ病变手术治疗的患者80例作为本次研究的对象，将其平均分为对照组和观察组。对照组采用冷刀宫颈锥切术，观察组采用电刀宫颈锥切术治疗，将术中出血量、手术时间、手术费用、术后并发症作为本次两种手术方法的临床比较指标，进行对比分析。结果：观察组患者的手术时间少于对照组，观察组患者术中的出血量低于对照组，比较差异有统计学意义（P<0.05）。观察组患者进行CINⅢ病变手术治疗的费用与对照组相比，差异有统计学意义（P<0.05）。观察组和对照组患者术后并发症的发生率分别为7.50%、27.50%，比较差异有统计学意义（P<0.05）。结论：在CINⅢ病变治疗中，电刀宫颈锥切术的治疗方法手术时间短、术中出血量小，给患者带来的创伤和经济负担小，术后并发症发生率较低。与冷刀宫颈锥切术的治疗效果进行分析，优势较为突出，所以在CINⅢ病变治疗中，可以选择电刀宫颈锥切术。
目的：討論電刀與冷刀的宮頸錐切術治療CINⅢ病變中的臨床效果比較以及手術方法的選擇。方法：隨機選擇2013年1月-2014年1月在本院進行CINⅢ病變手術治療的患者80例作為本次研究的對象，將其平均分為對照組和觀察組。對照組採用冷刀宮頸錐切術，觀察組採用電刀宮頸錐切術治療，將術中齣血量、手術時間、手術費用、術後併髮癥作為本次兩種手術方法的臨床比較指標，進行對比分析。結果：觀察組患者的手術時間少于對照組，觀察組患者術中的齣血量低于對照組，比較差異有統計學意義（P<0.05）。觀察組患者進行CINⅢ病變手術治療的費用與對照組相比，差異有統計學意義（P<0.05）。觀察組和對照組患者術後併髮癥的髮生率分彆為7.50%、27.50%，比較差異有統計學意義（P<0.05）。結論：在CINⅢ病變治療中，電刀宮頸錐切術的治療方法手術時間短、術中齣血量小，給患者帶來的創傷和經濟負擔小，術後併髮癥髮生率較低。與冷刀宮頸錐切術的治療效果進行分析，優勢較為突齣，所以在CINⅢ病變治療中，可以選擇電刀宮頸錐切術。
목적：토론전도여냉도적궁경추절술치료CINⅢ병변중적림상효과비교이급수술방법적선택。방법：수궤선택2013년1월-2014년1월재본원진행CINⅢ병변수술치료적환자80례작위본차연구적대상，장기평균분위대조조화관찰조。대조조채용냉도궁경추절술，관찰조채용전도궁경추절술치료，장술중출혈량、수술시간、수술비용、술후병발증작위본차량충수술방법적림상비교지표，진행대비분석。결과：관찰조환자적수술시간소우대조조，관찰조환자술중적출혈량저우대조조，비교차이유통계학의의（P<0.05）。관찰조환자진행CINⅢ병변수술치료적비용여대조조상비，차이유통계학의의（P<0.05）。관찰조화대조조환자술후병발증적발생솔분별위7.50%、27.50%，비교차이유통계학의의（P<0.05）。결론：재CINⅢ병변치료중，전도궁경추절술적치료방법수술시간단、술중출혈량소，급환자대래적창상화경제부담소，술후병발증발생솔교저。여냉도궁경추절술적치료효과진행분석，우세교위돌출，소이재CINⅢ병변치료중，가이선택전도궁경추절술。
Objective:To discuss the electrotome and cold knife for the treatment of the cervical cone cutting CINⅢ lesions in clinical effect comparison and the choice of surgical methods.Method: To randomly select from January 2013 to January 2014, conduct in our hospital CINⅢ lesions of surgical treatment of 80 patients, as the research object, were averagely divided into control group and observation group. The control group was treated by cervical cone of cold knife cut method, the observation group was treated by electric knife for the treatment of the cervical cone cutting, the intraoperative blood loss, operative time, surgery, postoperative complications as a clinical comparison of this two methods of operation, were analyzed.Result: The operation time and perioperative blood loss of the observation group were less than those of the control group, and there were significant differences (P<0.05). Surgical treatment cost of the observation group compared with the control group was significant difference (P<0.05). The complications incidence of observation group and control group was 7.50%, 27.50%, respectively, and there were significant difference (P<0.05).Conclusion: In the CINⅢ lesions treatment, electrotome cervical cone cut method of treatment of shorter operation time, intraoperative blood loss is small, small trauma and the economic burden for patients, the incidence of postoperative complications is low. With the cervical cone of cold knife cut method of the treatment effect is analyzed, advantage is obvious, so in the CINⅢ lesions treatment, can choose the electrotome cervical cone cut method of treatment.
