环形电切锥切术治疗老年宫颈高度病变病人的临床疗效

doi:10.3969/j.issn.1003-9198.2021.01.008

摘要/Abstract

摘要： 目的探讨环形电切锥切术(LEEP)治疗老年宫颈高度病变病人的临床效果及对逆转率的影响。方法选择2017年6月至2019年6月老年宫颈高度病变病人143例作为对象,采用随机数表法分为对照组(n=70)和观察组(n=73)。对照组采用宫颈冷刀锥切术治疗,观察组采用LEEP治疗,术后3 d对病人手术指标进行评估,术后对病人进行6个月随访,比较2组手术指标、逆转率、并发症发生率及术后生活质量。结果观察组手术、住院及切口愈合的时间,术中出血量及手术费用均少于对照组(P<0.05)。术后6个月,2组宫颈管粘连、感染、阴道出血的发生率差异均无统计学意义(P>0.05)。2组术后1、6个月逆转率差异均无统计学意义(P>0.05)。观察组术后6个月的健康、食欲、精神症状、躯体感觉及睡眠状态评分均高于对照组(P<0.05)。结论 LEEP用于老年宫颈高度病变病人中,手术创伤较小,能提高逆转率,降低术后并发症发生率,有助于提高病人生活质量,值得推广应用。

关键词: 环形电切锥切术, 冷刀锥切术, 宫颈高度病变, 逆转率, 疗效, 老年人

Abstract: Objective To investigate the clinical effect of loop electrosurical excision procedure (LEEP) in the treatment of the elderly patients with high-grade cervical lesions and its influence on reversal rate. Methods A total of 143 elderly patients with high-grade cervical lesions from June 2017 to June 2019 were selected as subjects. They were divided into control group (n=70) and observation group (n=73) by random number table. The control group was treated with cold knife conization, and the observation group was treated with LEEP. The patients' surgical indicators were evaluated 3 days after the operation, and they were followed up for 6 months after the operation. The surgical indicators, reversion rate, incidence of complications and postoperative quality of life were compared between the two groups. Results The time of surgery, hospitalization and incision healing, intraoperative blood loss and operation cost in the observation group were less than those in the control group (P<0. 05). Six months after operation, there were no significant differences in the incidence of cervical canal adhesion, infection and vaginal bleeding between the two groups (P>0. 05). There was no significant difference in the reversion rate of the two groups in the first and sixth months after operation (P>0. 05). The scores of health, appetite, mental symptoms, physical sensation and sleep status in the observation group were higher than those in the control group (P<0. 05). Conclusions LEEP in the treatment of elderly patients with high cervical lesions has less surgical trauma, which can increase the reversion rate, reduce the incidence of postoperative complications, and improve the quality of life of the patients.

Key words: loop electrosurical excision procedure, cold knife conization, cervical lesions, reversion rate, curative effect, aged

中图分类号:

R 737.33

王文杰, 李咏. 环形电切锥切术治疗老年宫颈高度病变病人的临床疗效[J]. 实用老年医学, 2021, 35(1): 28-31.

WANG Wen-jie, LI Yong. Curative effect of loop electrosurical excision procedure in the treatment of elderly patients with cervical lesions[J]. Practical Geriatrics, 2021, 35(1): 28-31.

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