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目的探索利普刀治疗慢性宫颈炎患者的近期和远期临床效果及意义.方法采用单中心、随机、对照、前瞻性研究方法,将120例慢性宫颈炎患者随机分为观察组和对照组,每组患者60例,观察组患者采用利普(LEEP)刀进行治疗,参数设定频率为3.8 MHz,功率为30~40 W.对照组采用微波进行治疗,对比2组术中情况、术后恢复以及复发情况.结果观察组术中术后出血量、手术时间以及阴道流液时间均明显小于对照组,差异有统计学意义(P<0.01);术后2周和3月观察组治愈率分别为70%和98.33%,对照组治愈率16.67%和51.67%,2组比较,差异有统计学意义(P<0.01);观察组术后2周和3月感染率和复发率均明显低于对照组,差异有统计学意义(P<0.05).结论利普刀治疗慢性宫颈炎术后患者近期和远期的复发率、感染率低、治愈率高,并且术中创伤小、手术时间短,对患者预后有重要的临床意义.
Objective To explore the short-term and long-term clinical efficacy and significance of Lipu sclerotherapy in patients with chronic cervicitis.Methods 120 patients with chronic cervicitis were randomly divided into observation group and control group by single center, randomized, controlled and prospective study, Each group of 60 patients, the observation group were treated with LEEP (LEEP) knife, the parameters set frequency of 3.8 MHz and power of 30 ~ 40 W. The control group was treated with microwave, compared with two groups of intraoperative, postoperative Recovery and recurrence.Results The postoperative blood loss, operation time and vaginal fluid time in the observation group were significantly less than those in the control group (P <0.01), and the cure rates in the observation group at 2 and 3 months after operation Respectively, 70% and 98.33% respectively. The cure rate of the control group was 16.67% and 51.67% respectively. There was significant difference between the two groups (P <0.01). The infection rate and recurrence rate of the observation group at 2 weeks and 3 months after operation were significantly lower In control group, the difference was statistically significant (P0.05) .Conclusion Lipp knife in the treatment of patients with chronic cervicitis in recent and long-term recurrence rate, the infection rate is low, the cure rate is high, and intraoperative trauma, operation time Short, the prognosis of patients with important clinical significance.