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利普刀对HPV阳性宫颈病变患者的治疗效果研究
引用本文:刘雪清,张斌,许艳,钟小群,刘岭. 利普刀对HPV阳性宫颈病变患者的治疗效果研究[J]. 基层医学论坛, 2014, 0(25): 3324-3326
作者姓名:刘雪清  张斌  许艳  钟小群  刘岭
作者单位:刘雪清(仁寿县第二人民医院,四川 仁寿,612575);张斌(仁寿县第二人民医院,四川 仁寿,612575);许艳(仁寿县第二人民医院,四川 仁寿,612575);钟小群(仁寿县第二人民医院,四川 仁寿,612575);刘岭(仁寿县第二人民医院,四川 仁寿,612575);
摘    要:目的探讨利普刀在人乳头状瘤病毒(H PV)阳性宫颈病变中的治疗效果。方法将122例宫颈病变患者随机分为利普刀组和微波组,观察2组临床治疗情况。结果利普刀和微波相比较,手术时间、治疗效果无明显差异(P〉0.05);微波治疗在出血量、术后出血时间以及术后排液时间方面优于LEEP刀(P〈0.01);但是LEEP刀在治疗H PV感染方面明显优于微波治疗,H PV转阴率80.6%、复发率6.5%,均明显优于微波治疗(P〈0.01)。结论利普刀治疗宫颈疾病,手术操作简单、微创,疗效可靠,H PV转阴率高、复发率低,值得临床进一步研究推广。

关 键 词:宫颈病变  HPV  利普刀  微波治疗

Study on the effect of LEEP in the treatment of HPV positive cervical lesions
Affiliation:Liu Xueqing, Zhang Bin, Xu Yah, et al. (The Second People's Hospital of Renshou County, Renshou,Sichuan 612575)
Abstract:Objective To investigate the treatment effect of LEEP in HPV positive cervical lesions. Methods122 cases of cervical lesions were randomly divided into LEEP group and treatment effect were observed. Results The treatment effect and operation time between two groups had no significant difference(P〉0.05),But in the aspects of the amount of bleeding,postoperative bleeding time and postoperative drainage time,microwave group was better than that of LEEP(P〈0.001),however,in the treatment of HPV infection and recurrence,LEEP knife were significantly better than microwave group with 80.6% HPV negative conversion rate and 6.5% recurrence rate(P〈0.01). Conclusion Using LEEP knife in the treatment of cervical disease,the operation is simple with minimally invasive,reliable curative effect,high HPV negative rate and low recurrence rate,which is worthy of further clinical study
Keywords:Cervical lesion  HPV  LEEP  Microwave therapy
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