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目的观察阴道镜联合LEEP刀治疗宫颈病变的临床疗效。方法将符合病例入选标准的80例宫颈病变患者随机分为观察组、对照组,每组30例。两组患者均于月经干净后3～7d进行治疗,术前禁性生活24h。观察组采用阴道镜联合LEEP手术治疗,对照组采用宫颈激光烧灼法治疗。观察两组宫颈创面的愈合情况及子宫颈塑形满意度、术后脱痂期阴道出血持续时间。结果治愈率观察组为82.50%,对照组为57.50%。两组相比有明显差异(P<0.05)。总有效率观察组为97.50%,对照组为80.00%。两组相比有明显差异(P<0.05)。满意率观察组为87.50%,对照组为57.50%。两组相比有明显差异(P<0.05)。两组术后7～14d、≥14d时阴道出血率相比有明显差异(P<0.05)。结论阴道镜联合LEEP刀治疗宫颈病变疗效显著,可提高宫颈疮面愈合率及子宫颈塑形满意率,减少出血。
Objective To observe the clinical effect of colposcopy combined with LEEP knife in the treatment of cervical lesions. Methods Eighty patients with cervical lesions who met the criteria of the case were randomly divided into observation group and control group, 30 cases in each group. Two groups of patients were treated 3 ~ 7d after menstruation was clean, preoperative sexual life 24h. The observation group was treated with colposcopy and LEEP, while the control group was treated with cervical laser cautery. The healing status of cervical wounds and cervix shaping satisfaction of the two groups were observed. The duration of vaginal bleeding during the escaping period was observed. Results The cure rate was 82.50% in the observation group and 57.50% in the control group. There was significant difference between the two groups (P <0.05). The total effective rate was 97.50% in the observation group and 80.00% in the control group. There was significant difference between the two groups (P <0.05). The satisfaction rate was 87.50% in the observation group and 57.50% in the control group. There was significant difference between the two groups (P <0.05). Vaginal hemorrhage rate was significantly different between the two groups at 7-14 days and ≥14 days (P <0.05). Conclusion colposcopy combined with LEEP knife treatment of cervical lesions significant effect, can improve cervical sore rate and cervical plastic satisfaction, reduce bleeding.