【摘要】 目的比较分析宫颈环形电切术(LEEP)与冷刀锥切术(CKC)治疗宫颈上内瘤变(CIN)的临床疗效。方法将本院收治的CIN患者169例随机分为两组,分别采用LEEP术(LEEP组,89例)和CKC术(CKC组,80例)治疗,观察两组疗效、术后并发症情况。结果与CKC组比较,LEEP组的手术时间、术中出血量减少(P<0.05)。两组的组织活检、病理检查符合率,CIN级别下降率、浸润癌的发生率差异性均无统计学意义(P>0.05),LEEP组术后宫颈管粘连的发生率较CKC组低(P<0.05)。结论 LEEP术治疗CIN安全有效,较CKC术操作简单、术后并发症少。更多还原

【Abstract】 Objective:To compare the clinical effect of loop electrosurgical excision procedure(LEEP)and cold- knifeconization(CKC)for cervical intra epithelial neoplasia(CIN).Methods A total of 169 patients suffering from CIN were randomly divided into LEEP group(n= 89)and CKC group(n= 80).The clinical effect and complications were assessed.Results Compared with CKC group,the operation time were shorter,and intraoperative blood losswas lessin LEEP group(P< 0.05).There were no significant differencesin the consistent rate of pathology diagnosis,reduction rate of pathological grades,incidence of infiltrating carcinoma between the two groups(P> 0.05).The rate of postoperative cervical tube adhesion in LEEP group Was significantly lessthan that in CKC group(P< 0.05).Conclusions LEEP is supperior to CKC in treating CIN for its safety and effectiveness as well as fewer complications.更多还原