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目的:评价两种宫颈锥切术的疗效。方法:回顾性分析,2014年2月~2016年1月,医院采用常规宫颈冷刀锥切术治疗治疗宫颈上皮内瘤变Ⅲ级114例,纳入开放组,同期采用宫腔镜宫颈电环锥切术治疗76例,纳入宫腔镜组。结果:宫腔镜组术中出血量、手术时间、12个月后复发率、并发症发生率低于开放组/差异有统计学意义(P<0.05)。宫腔镜组与开放组CIN残留率、二次手术率差异无统计学意义(P>0.05)。结论:宫腔镜宫颈电环锥切术创伤更轻,降低复发、并发症发生风险,且能够保证切缘阴性。
Objective: To evaluate the curative effect of two kinds of cervical conization. Methods: Retrospective analysis, from February 2014 to January 2016, the hospital treated with conventional cold knife conization for cervical intraepithelial neoplasia grade Ⅲ 114 cases, included in the open group, the same period with hysteroscopic cervical ring cones Incision surgery in 76 cases, into the hysteroscopy group. Results: The bleeding volume, operation time, the recurrence rate after 12 months and the complication rate in hysteroscopic group were lower than those in open group (P <0.05). Hysteroscopy group and open group CIN residual rate, the rate of second surgery was no significant difference (P> 0.05). Conclusion: Hysteroscopic cervical ring conization is less invasive and reduces the risk of recurrence and complications, and can ensure negative margins.