中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
15期
27-30
,共4页
锥切深度%LEEP%CIN
錐切深度%LEEP%CIN
추절심도%LEEP%CIN
Cone depth%LEEP%CIN
目的:探讨宫颈电热圈环形切除术(LEEP)不同锥切深度治疗宫颈上皮内瘤变(CIN)对疗效的影响,以期选择最佳的锥切深度,提高治疗水平。方法选取2010年5月~2013年5月130例CIN患者为研究对象,均采用LEEP治疗,将锥切深度分成0.5~1.0 cm,1.0~1.5 cm,1.5~2.0 cm。从切缘阳性率,术后TCT阳性率,早产率等观察治疗后效果差异性。结果B组切缘阳性率为2.22%、TCT阳性率为4.44%、创面愈合率为97.78%、治愈率为96.63%、复发、CIN残留、二次手术发生率均为4.44%;感染和宫颈管粘连并发症上,B组发生率分别为6.67%、6.67%;妊娠结局上,早产、剖宫产、低体重儿、胎膜早破发生率分别为2.22%、24.44%、2.22%、0.00、0.00,和其他两组比较差异有统计学意义(P<0.05)。结论1.0~1.5 cm锥切深度对LEEP治疗CIN疗效最佳,并发症最低。
目的:探討宮頸電熱圈環形切除術(LEEP)不同錐切深度治療宮頸上皮內瘤變(CIN)對療效的影響,以期選擇最佳的錐切深度,提高治療水平。方法選取2010年5月~2013年5月130例CIN患者為研究對象,均採用LEEP治療,將錐切深度分成0.5~1.0 cm,1.0~1.5 cm,1.5~2.0 cm。從切緣暘性率,術後TCT暘性率,早產率等觀察治療後效果差異性。結果B組切緣暘性率為2.22%、TCT暘性率為4.44%、創麵愈閤率為97.78%、治愈率為96.63%、複髮、CIN殘留、二次手術髮生率均為4.44%;感染和宮頸管粘連併髮癥上,B組髮生率分彆為6.67%、6.67%;妊娠結跼上,早產、剖宮產、低體重兒、胎膜早破髮生率分彆為2.22%、24.44%、2.22%、0.00、0.00,和其他兩組比較差異有統計學意義(P<0.05)。結論1.0~1.5 cm錐切深度對LEEP治療CIN療效最佳,併髮癥最低。
목적:탐토궁경전열권배형절제술(LEEP)불동추절심도치료궁경상피내류변(CIN)대료효적영향,이기선택최가적추절심도,제고치료수평。방법선취2010년5월~2013년5월130례CIN환자위연구대상,균채용LEEP치료,장추절심도분성0.5~1.0 cm,1.0~1.5 cm,1.5~2.0 cm。종절연양성솔,술후TCT양성솔,조산솔등관찰치료후효과차이성。결과B조절연양성솔위2.22%、TCT양성솔위4.44%、창면유합솔위97.78%、치유솔위96.63%、복발、CIN잔류、이차수술발생솔균위4.44%;감염화궁경관점련병발증상,B조발생솔분별위6.67%、6.67%;임신결국상,조산、부궁산、저체중인、태막조파발생솔분별위2.22%、24.44%、2.22%、0.00、0.00,화기타량조비교차이유통계학의의(P<0.05)。결론1.0~1.5 cm추절심도대LEEP치료CIN료효최가,병발증최저。
Objective To investigate electric Hoop cervical excision (loop electrosurgical excision procedure, LEEP) conization different depth treatment of cervical intraepithelial neoplasia (cervical intraepithelial neoplasia, CIN) the im-pact on the efficacy of resistance, in order to select the best cone depth improve the therapeutic level. Methods A total of 130 CIN patients with LEEP treatment were collected from May 2010 to May 2013, the cone cutting depth was disid-ed into 0.5-1.0 cm, 1.0-1.5 cm, 1.5-2.0 cm. positive margin rate, postoperative TCT positive rate, premature birth rate were compared among different depth. Results 1.0-1.5 cm group positive margin rate was 2.22%, TCT positive rate was 4.44%, the rate of wound healing was 97.78%, the cure rate was 96.63%, relapse, CIN residues, reoperation rates were 4.44%; the infection and cervical adhesions complications, 1.0-1.5 cm group rates were 6.67%, 6.67%; on pregnancy outcomes, premature birth, cesarean section, low birth weight children, the incidence of premature rupture of mem-branes was 2.22%, respectively, 24.44%, 2.22%, 0.00, 0.00, and other differences between the two groups was statisti-cally significant (P<0.05). Conclusion 1.0-1.5 cm LEEP cone depth on the efficacy of the treatment of CIN best, lowest complication.