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目的评价唯阴康联合碘仿砂条在宫颈上皮内瘤样变(CIN)患者宫颈环形电切除术(LEEP)后宫颈愈合的疗效。方法回顾2009年1月至2010年12月我科室经细胞学检查-阴道镜下多点活检确诊并行LEEP患者176例,按术后宫颈创面治疗方法将患者分为碘仿砂条组(A组),唯阴康组(B组),唯阴康联合碘仿砂条组(C组)。对比分析3组术后阴道出血及持续时间、阴道排液持续时间、宫颈创面愈合时间、宫颈粘连及术后感染,观察术后宫颈治疗结局。结果术后阴道流血量B组多于A,C组(P<0.05),阴道流液持续时间及宫颈创面愈合时间A组长于B,C组(P<0.05),阴道流血持续时间C组短于A,B组(P<0.05)。仅B组发生1例宫颈粘连。3组间治愈率、残留率、复发率差异无统计学意义(P>0.05)。结论唯阴康联合碘仿砂条有效减少CIN患者LEEP后阴道流血,减少阴道流液及缩短创面愈合时间。
Objective To evaluate the curative effect of Ciyin Kang combined with Iodoform on the cervical healing after cervical electrocorticotomy (LEEP) in patients with cervical intraepithelial neoplasia (CIN). Methods From January 2009 to December 2010, 176 cases of LEEP were diagnosed by cytology and colposcopy biopsy in our department. According to the method of postoperative cervical wound treatment, the patients were divided into group Ⅰ (group A) ), Weiyinkang group (B group) and Weiyinkang combined iodine sand group (C group). Comparative analysis of three groups of postoperative vaginal bleeding and duration, duration of vaginal discharge, wound healing of cervical, cervical adhesions and postoperative infection, observation of postoperative cervical outcomes. Results The volume of postoperative vaginal bleeding in group B was more than that in groups A and C (P <0.05). The duration of vaginal fluid flow and wound healing in group A were longer than those in group B and C (P <0.05). The duration of vaginal bleeding was shorter in group C In A, B group (P <0.05). Only one case of cervical adhesions occurred in group B. There was no significant difference in the cure rate, residual rate and relapse rate between the three groups (P> 0.05). Conclusion Weiyin Kang combined with iodoform sandblast effectively reduces vaginal bleeding after LEEP in CIN patients, reduces vaginal fluid flow and shortens wound healing time.