利普刀治疗慢性宫颈炎近期与远期的临床疗效

［摘要］目的　探索利普刀治疗慢性宫颈炎患者的近期和远期临床效果及意义．方法　采用单中心、随机、对照、前瞻性研究方法，将120例慢性宫颈炎患者随机分为观察组和对照组，每组患者60例，观察组患者采用利普（LEEP）刀进行治疗，参数设定频率为3.8 MHz，功率为30～40 W．对照组采用微波进行治疗，对比2组术中情况、术后恢复以及复发情况．结果 观察组术中术后出血量、手术时间以及阴道流液时间均明显小于对照组，差异有统计学意义（P ＜0.01）；术后2周和3月观察组治愈率分别为70%和 98.33%，对照组治愈率16.67%和51.67%，2组比较，差异有统计学意义（P ＜0.01）；观察组术后2周和3月感染率和复发率均明显低于对照组，差异有统计学意义（P ＜0.05）．结论　利普刀治疗慢性宫颈炎术后患者近期和远期的复发率、感染率低、治愈率高，并且术中创伤小、手术时间短，对患者预后有重要的临床意义．

The Short-term and Long-term Clinical Effect of Leep Knife Treatment of Chronic Cervicitis

［Abstract］Objective To explore the short-term and long-term clinical effect of leep knife treatment of chronic cervicitis. Methods A single-center， prospective， randomized， controlled study was used， 120 patients with chronic cervicitis were randomly divided into observation group and control group， each group of 60 patients. Patients in the observation group were treated with （LEEP） knife， parameters setting frequency was 3.8 MHz， power was 30 ~ 40W， patients in the control group were treated with microwave. The intraoperative and postoperative recovery and relapse were compared between two groups. Results The intraoperative blood loss， operative time， postoperative vaginal discharge time in the observation group were significantly less than control group， there was a significantly statistical difference （P < 0.001）. After two weeks and three months ， the cure rate in observation group were 70% and 98.33% respectively， the cure rate in control group were 16.67% and 51.67%， there was a significantly statistical difference （P < 0.01）. After 2 weeks and 3 months， the infection rate and recurrence rate in the observation group were significantly lower than the control group， there was a significantly statistical difference （P < 0.05）. Conclusion　Leep knife for treatment of chronic cervicitis patients has lower postoperative recurrence， lower infection rate and higher cure rate in short-term and long-term， and less intraoperative trauma， shorter operation time， and has important clinical significance for the prognosis of patients.