王崇桂

[摘要] 目的 探討阴道镜联合LEEP术治疗宫颈癌前病变的临床效果。方法 随机筛选出2014年1月—2015年12月期间该院收治的66例宫颈癌前病变患者，采用随机分组法分为对照组和观察组，每组33例。对照组患者采用宫颈激光烧灼法治疗，观察组患者采用阴道镜联合LEEP手术治疗。对比两组患者平均手术时间、平均出血量以及术后脱痂期阴道平均出血时间等临床指标；根据临床疗效判断标准对比两组患者临床治疗效果；同时根据子宫塑形评定标准对两组患者满意度进行比较。结果 观察组患者平均手术时间为（20.4±3.7）min，平均出血量为（15.8±2.4）mL，术后脱痂期阴道平均出血时间为（8.3±1.1）d，对照组患者分别为（37.3±6.2）min、（22.5±4.0）mL、（11.7±1.4）d，差异有统计学意义（P<0.05）；观察组患者治疗总有效率为96.97%，明显比对照组81.82%高，差异有统计学意义（P<0.05）；且观察组患者总满意率93.94%比对照组75.76%高，差异有统计学意义（P<0.05）。结论 阴道镜联合LEEP术治疗宫颈癌前病变临床效果较好，不仅手术治疗时间短、患者出血量少、术后脱痂期阴道出血时间短，且患者满意度较高，值得在临床中推广应用中。

[关键词] 阴道镜；LEEP术；宫颈癌前病变

[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0028-03

[Abstract] Objective To observe the clinical effect of colposcopy and LEEP operation in treatment of precancerous lesions of uterine cervix. Methods 66 cases of patients with precancerous lesions of uterine cervix admitted and treated in our hospital from January 2014 to December 2015 were randomly selected and divided into two groups with 33 cases in each， the control group were treated with laser cauterization of cervix， while the observation group were treated with colposcopy and LEEP operation， and the average operation time， average bleeding amount and average bleeding time of vagina during the decrustation stage after operation were compared between the two groups， and the clinical treatment effect of the two groups was compared according to the clinical curative effect standards， and the satisfactory degree was compared between the two groups according to the uterine shaping evaluation criteria. Results The differences in the average operation time， average bleeding amount and average bleeding time of vagina during the decrustation stage after operation between the observation group and the control group had statistical significance， [（20.4±3.7）min， （15.8±2.4）mL， （8.3±1.1）d vs （37.3±6.2）min，（22.5±4.0）mL，（11.7±1.4）d]（P<0.05）， and the total effective rate in the observation group was obviously higher than that in the control group， （96.97% vs 81.82%）， and the difference had statistical significance（P<0.05）， and the total satisfactory rate in the observation group was higher than that in the control group（93.94% vs 75.76%）， and the difference had statistical significance（P<0.05）. Conclusion The clinical effect of colposcopy and LEEP operation in treatment of precancerous lesions of uterine cervix is better with short operation treatment time， less bleeding amount， short bleeding time of vagina during the decrustation stage after operation and higher satisfactory degree， which is worth clinical promotion and application.

[Key words] Colposcopy； LEEP operation； Precancerous lesions of uterine cervix

宫颈癌前病变是妇科常见疾病之一，对女性身体健康有较大影响，若是未能及时采取有效治疗措施，随着病情进展，极易发展为宫颈癌，从而对患者生命安全产生威胁[1]。目前，临床中治疗宫颈癌前病变的方法较多，有物理治疗、药物治疗、手术治疗等，宫颈环形电切术（LEEP）治疗宫颈癌及宫颈癌前病变常用的手术方法之一，该手术治疗不仅创伤小，疗效显著，且术后患者宫颈塑性较好，患者普遍对此方法较为满意。有研究表明[2]，阴道镜联合LEEP术治疗宫颈癌前病变的临床效果较好。为此，该文将该院2014年1月—2015年12月收治的65例宫颈癌前病变患者作为研究对象，观察阴道镜联合LEEP术治疗宫颈癌前病变的临床效果，现报道如下。……