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目的探讨宫颈电环切术在治疗宫颈上皮内瘤变(CIN)的疗效及其安全性。方法选取在2009年1月-2011年12月期间某院妇科门诊共诊治CIN患者79例,按照患者手术方法分组,其中行宫颈电环切术患者47例(电刀组),行宫颈冷刀锥切术者32例(冷刀组),比较治疗疗效。结果术前与术后病理检查结果比较,前后诊断符合率83.54%;电刀组与冷刀组在手术时间、术后出血时间、不良反应发生率比较差异无统计学意义(P﹥0.05),术中出血量及创面完全结痂时间电刀组明显短于冷刀组,比较差异有统计学意义(P﹤0.05);术后3个月复查宫颈均恢复光滑状态,宫颈液基细胞结果显示均恢复正常(100.00%)。结论宫颈环形电切术治疗CIN安全、有效,是治疗CIN的有效手段。
Objective To investigate the efficacy and safety of cervical electrosurgical excision in the treatment of cervical intraepithelial neoplasia (CIN). Methods From January 2009 to December 2011, 79 cases of CIN in gynecology outpatient department of a hospital were selected and divided into groups according to the operation method of the patients. Among them, 47 cases (electrocautery group) underwent cervical electrosurgical excision, Conectomy in 32 cases (cold knife group), the treatment of curative effect. Results The preoperative and postoperative diagnosis showed a coincidence rate of 83.54%. There was no significant difference in the operative time, postoperative bleeding time and incidence of adverse reactions between the electric knife group and the cold knife group (P> 0.05) The amount of bleeding during operation and the complete scabbing time of the wound were significantly shorter in the electric knife group than in the cold knife group (P <0.05), and the cervix returned to a smooth state at 3 months after operation. The results of cervical liquid-based cells showed All returned to normal (100.00%). Conclusion Cervical ring resection of CIN safe and effective treatment of CIN is an effective means.