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目的研究冷刀锥切术与宫颈环形电切术用于宫颈病变治疗的价值。方法在2015年9月-2017年3月我院妇产科收治的宫颈病变患者中选出118例,根据手术方法分成两组,对照组患者实施冷刀锥切术治疗;观察组患者实施宫颈环形电切术治疗;对比两组患者的手术指标、术后恢复指标等。结果观察组患者的手术时间、切口愈合时间、住院时间短于对照组患者,且术中出血量较对照组患者更少,具有统计学意义(P<0.05);但观察组患者的病灶残留率17.74%高于对照组患者的5.36%,具有统计学意义(P<0.05);观察组患者的术后并发症发生率低于对照组(3.23%vs 16.07%),具有统计学意义(P<0.05);观察组患者的手术费用较对照组患者少,具有统计学意义(P<0.05)。结论在宫颈病变的临床治疗中,宫颈环形电切术对患者的创伤较小,患者术后恢复较快,且手术费用较低,但是其容易出现病灶残留,尤其是对于病变级别较高的宫颈上皮内瘤变患者容易导致患者术后的复发,故而临床医师应结合患者的个体化情况合理选择手术方法。
Objective To study the value of cold knife conization and cervical circumcision in the treatment of cervical lesions. Methods From September 2015 to March 2017, 118 cases of cervical lesions treated by obstetrics and gynecology in our hospital were selected and divided into two groups according to the operation method. Patients in the control group were treated with cold knife conization. Patients in the observation group underwent cervical Circumferential resection; compared the two groups of patients with surgical indicators, postoperative recovery indicators. Results The operation time, incision healing time and hospital stay in the observation group were shorter than those in the control group, and the amount of bleeding in the observation group was less than that in the control group (P <0.05). However, the residual rate in the observation group (P <0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (3.23% vs 16.07%), with statistical significance (P < 0.05). The cost of surgery in the observation group was less than that in the control group, with statistical significance (P <0.05). Conclusion In the clinical treatment of cervical lesions, cervical torotomy is less traumatic to the patient, the patients recover quickly and the operation cost is lower, but it is prone to residual lesions, especially for the higher grade of cervical lesions Intraepithelial neoplasia patients easily lead to recurrence of patients, so clinicians should be combined with the individual patients with a reasonable choice of surgical methods.