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目的:对宫颈上皮内瘤变(CIN)患者实施宫颈环切术与实施常规局部切除手术治疗后的情况进行追踪对比,进而分析探讨宫颈环切术对CIN的治疗效果。方法:选择2011年4月～2012年4月间随机抽取的60名经检查患有CIN且只进行局部切除手术,没有进行宫颈环切术的女性作为对照组;以同科室同时间段内随机选取的另60名同样患有宫颈上皮内瘤样变且实施了宫颈环切术的患者作为观察组,对两组病患的病例资料及对方结果进行回顾性研究比较。结果:观察组患者经宫颈环切术后平均出血量为(11.31±5.60)ml、创口愈合的平均时间为(36.10±4.90)天,治愈率为96.00%,复发率仅为2.00%,而对照组平均出血量为(17.22±6.30)ml,创口愈合时间平均为(53.60±5.10)天,治愈率为93.00%,复发率为3.00%,观察组的治疗效果明显优于对照组。差异具有统计学意义(P<0.05)。结论:宫颈环切术对治疗CIN具有安全性高,恢复快,复发率低的明显效果。
Objective: To compare and analyze the situation of cervical circumcision and conventional partial cystectomy in patients with cervical intraepithelial neoplasia (CIN), then to analyze the effect of cervical circumcision on CIN. Methods: A total of 60 randomly selected women with CIN who underwent partial resection and no cervical circumcision were selected as the control group from April 2011 to April 2012. The patients were randomly assigned to the same department The other 60 patients with the same type of cervical intraepithelial neoplasia who underwent cervical circumcision were selected as the observation group. The case data of the two groups were compared retrospectively. Results: The mean amount of bleeding in the observation group was (11.31 ± 5.60) ml after cervical circumcision and the average wound healing time was (36.10 ± 4.90) days, the cure rate was 96.00% and the recurrence rate was only 2.00% The average bleeding volume was (17.22 ± 6.30) ml, the average wound healing time was (53.60 ± 5.10) days, the cure rate was 93.00% and the recurrence rate was 3.00%. The curative effect of the observation group was obviously better than that of the control group. The difference was statistically significant (P <0.05). Conclusion: Cervical circumcision is a safe and effective method for the treatment of CIN with rapid recovery and low recurrence rate.