宫颈冷刀锥切术联合子宫动脉下行支结扎在治疗高级别宫颈上皮内瘤变中的应用价值

发布时间：2018-02-01 14:40

本文关键词： 宫颈冷刀锥切术宫颈上皮内瘤变子宫动脉结扎子宫动脉下行支　出处：《中国妇产科临床杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨宫颈冷刀锥切术(CKC)联合子宫动脉下行支结扎在治疗高级别宫颈上皮内瘤变(CIN2、CIN3)中的应用价值。方法回顾分析120例高级别CIN患者的临床资料,根据手术器械及创面止血方法不同将患者分为三组,即电刀组(LEEP)、CKC联合子宫动脉下行支结扎组和单纯CKC组,对患者围手术期情况及术后并发症情况进行比较。结果 CKC联合子宫动脉下行支结扎组的术中和术后出血量、住院时间均优于单纯CKC组,差异有统计学意义(P0.05)。LEEP组手术时间短于冷刀组,但其术后并发症发生率明显高于冷刀组,差异有统计学意义(P0.05)。结论 CKC时先行结扎子宫动脉下行支,并未明显延长手术时间,但可以明显减少术中和术后出血,缩短住院时间,减少手术并发症。
[Abstract]:Objective to explore the therapeutic effect of CKC2 combined with uterine artery descending branch ligation in the treatment of high grade cervical intraepithelial neoplasia. Methods the clinical data of 120 patients with high grade CIN were retrospectively analyzed. According to the surgical instruments and wound hemostasis methods, the patients were divided into three groups, namely the electrosurgical group. CKC combined with uterine artery descending branch ligation group and simple CKC group. Results the intraoperative and postoperative bleeding volume and hospitalization time of CKC combined with uterine artery descending branch ligation group were better than those of simple CKC group. The difference was statistically significant (P 0.05). LEEP group had shorter operation time than cold knife group, but the incidence of postoperative complications was significantly higher than that of cold knife group. Conclusion the ligation of the descending branch of uterine artery in CKC does not prolong the operative time, but it can significantly reduce the bleeding during and after operation and shorten the hospital stay. Reduce surgical complications.
【作者单位】：北京市通州区妇幼保健院;
【分类号】：R737.33
【正文快照】： 高级别CIN是与宫颈癌密切相关的癌前病变,CKC是治疗高级别CIN的主要手术方式,该手术方式的优点是病理诊断准确性高,切缘干净,但其主要的并发症是术中出血及术后出血,在基层医院,如发生严重出血,有可能导致患者切除子宫。本项目旨在研究CKC联合子宫动脉下行支结扎在治疗高级别C

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