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目的探讨活性银离子抗菌液应用于宫颈癌术前阴道冲洗的临床效果。方法选择2015年8月至2016年8月我院妇产科经病理确诊临床分期为Ⅱa期的宫颈癌患者80例,随机分为观察组和对照组,每组40例。两组均在术前进行阴道冲洗,观察组及对照组分别应用10%活性银离子抗菌液和0.2%碘伏冲洗液。比较两组患者治疗前后阴道清洁度及阴道残端感染率。结果观察组患者阴道清洁度正常比例(97.5%)高于对照组(92.5%);残端感染率(2.5%)低于对照组(10.0%),差异均具有统计学意义(P<0.05)。结论宫颈癌患者术前使用活性银离子抗菌液进行阴道冲洗,可有效清洁阴道环境、减少阴道残端感染的发生。
Objective To investigate the clinical effect of active silver ion antibacterial liquid applied to preoperative vaginal irrigation of cervical cancer. Methods Eighty-eight patients with cervical cancer who were clinically stage Ⅱa in obstetrics and gynecology department of our hospital from August 2015 to August 2016 were randomly divided into observation group and control group with 40 cases in each group. Vaginal irrigation was performed in both groups before operation. The observation group and the control group were treated with 10% active silver ion antibacterial solution and 0.2% iodophor solution respectively. The vaginal cleanliness and vaginal stump infection rate before and after treatment were compared between the two groups. Results The ratio of normal vaginal cleanliness (97.5%) in the observation group was higher than that in the control group (92.5%), and the infection rate of stump (2.5%) was lower than that in the control group (10.0%) (P <0.05) . Conclusions Cervical cancer patients preoperative use of active silver ion antibacterial liquid for vaginal washing can effectively clean the vaginal environment and reduce the incidence of vaginal stump infection.