宫颈锥形电切术对宫颈形态和机能影响的临床研究

目的:研究宫腔电切镜宫颈锥形电切对官颈形态和机能的影响.方法:应用宫腔电切镜宫颈锥形电切治疗慢性宫颈炎382例,分析术后宫颈长度、宫颈管和宫颈内口宽度变化及宫颈缩短、宫颈管松弛、宫颈管狭窄的发生情况.结果:宫颈锥形电切后宫颈缩短、宫颈管松弛和宫颈管狭窄的发生率分别为28.01%(107/382)、43.98%(168/382)和15.45%(59/382).结论:宫颈锥形电切术可引起宫颈缩短、宫颈管松弛和宫颈管狭窄,这些变化的发生与锥切范围有关.手术时应在保证切尽病变组织的前提下尽量减少切割范围.

Effect of Cervical Cone Electrosection on Cervical Shape and Function

Objective:To study the effect of cervical cone electrosection with hysteroscopy on cervical shape and function. Methods:382 patients with chronic cervicitis were treated by cervical cone electrosection with hysteroscopy, the change of cervical length, width of cervical canal and internal os of cervix, and incidence of cervical decurtation, looseness and stenosis of cervical canal were analyzed after operation. Results:The incidences of cervical decurtation, looseness and stenosis of cervical canal were 28.01% (107/382), 43.98% (168/382) and 15.45% (59/382) respectively after cervical cone electrosection. Conclusions:The cervical cone electrosection can lead to cervical decurtation, looseness and stenosis of cervical canal. these results are related to cutting range. The cutting range should be reduced as far as possible while the extent of disease is cut completely.