两种宫颈锥切方法治疗宫颈上皮内瘤变的临床分析

目的 比较分析宫颈环形电切术（LEEP）与冷刀锥切术（CKC）治疗宫颈上内瘤变（CIN）的临床疗效.方法 将本院收治的CIN患者169例随机分为两组,分别采用LEEP术（LEEP组,89例）和CKC术（CKC组,80例）治疗,观察两组疗效、术后并发症情况.结果 与CKC组比较,LEEP组的手术时间、术中出血量减少（P＜0.05）.两组的组织活检、病理检查符合率,CIN级别下降率、浸润癌的发生率差异性均无统计学意义（P＞0.05）,LEEP组术后宫颈管粘连的发生率较CKC组低（P＜0.05）.结论 LEEP术治疗CIN安全有效,较CKC术操作简单、术后并发症少.

Comparative Study on the Clinical Effect Between Loop Electro Excisional Procedure and Cold-knife Conization for Cervical IntraepitheHal Neoplasia

Objective：To compare the clinical effect of loop electrosurgical excision procedure（LEEP）and cold- knifeconization（CKC）for cervical intra epithelial neoplasia（CIN）.Methods A total of 169 patients suffering from CIN were randomly divided into LEEP group（n= 89）and CKC group（n= 80）.The clinical effect and complications were assessed.Results Compared with CKC group,the operation time were shorter,and intraoperative blood losswas lessin LEEP group（P〈0.05）.There were no significant differencesin the consistent rate of pathology diagnosis,reduction rate of pathological grades,incidence of infiltrating carcinoma between the two groups（P〈0.05）.The rate of postoperative cervical tube adhesion in LEEP group Was significantly lessthan that in CKC group（P〈0.05）.Conclusions LEEP is supperior to CKC in treating CIN for its safety and effectiveness as well as fewer complications.