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目的:比较观察宫腔镜电切术(TCRC)与宫颈环形电切术(LEEP)治疗宫颈上皮内瘤样病变(C IN)的疗效。方法:82例C IN患者随机分为TCRC组与LEEP组两组,每组41例,比较观察两组的疗效及术中、术后情况。结果:TCRC组术中出血量明显少于LEEP组,两组比较差异有统计学意义(P<0.05)。而LEEP组手术时间和术中不适发生率略少于TCRC组,但两组比较差异无统计学意义(P>0.05)。两组出血量超月经量、创面感染率和宫颈狭窄发生率比较,差异无统计学意义(P>0.05)。LEEP组与TCRC组在手术残留、治愈、持续存在及复发方面比较,差异均无统计学意义(P>0.05)。结论:TCRC与LEEP是治疗C IN的有效方法,但CRC在术中止血方面要明显优于LEEP法,无论应用哪种都要综合考虑适合的患者、现有设备的充分利用及医生应用此项技术的临床经验。
Objective: To compare the curative effect of hysteroscopic electrotomy (TCRC) and cervical ring excision (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN). Methods: Eighty-two CIN patients were randomly divided into two groups: TCRC group and LEEP group, 41 cases in each group. The curative effect, intraoperative and postoperative conditions were compared between the two groups. Results: The blood loss in TCRC group was significantly less than that in LEEP group, the difference was statistically significant (P <0.05). However, the incidence of operative time and intraoperative discomfort in LEEP group was slightly lower than that in TCRC group, but there was no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups in the amount of super-menstrual bleeding, the infection rate of wounds and the incidence of cervical stenosis (P> 0.05). LEEP group and TCRC group in the residual operation, cure, persistence and recurrence aspects, the difference was not statistically significant (P> 0.05). Conclusion: TCRC and LEEP are effective methods for the treatment of CIN. However, CRC is superior to LEEP in terms of intraoperative hemostasis. It should be taken into consideration when appropriate for all patients. The existing equipment should be fully utilized and be used by doctors Technical clinical experience.