宫颈癌前病变治疗中阴道镜联合LEEP对生活质量的影响探究
Effect of Colposcopy Combined with LEEP on Quality of Life in the Treat-ment of Cervical Precancerous Lesions
张丽英1
作者信息
- 1. 南平市妇幼保健院妇产科,福建南平 353000
- 折叠
摘要
目的 探究宫颈癌前病变治疗中阴道镜联合利普刀(Loop Electrosurgical Excision Procedure,LEEP)治疗对生活质量的影响.方法 随机选取2021年5月—2023年7月南平市妇幼保健院收治的50例宫颈癌前病变患者作为研究对象,利用随机数表法分为比照组(n=24)和研究组(n=26),分别行宫颈激光烧灼术、阴道镜联合LEEP术治疗,对比两组临床治疗效果.结果 研究组患者并发症总发生率为3.85%,低于比照组的25.00%,差异有统计学意义(χ2=4.638,P<0.05);与比照组相比较,研究组术中出血量更少、手术时间、引流时间及术后住院时间更短,差异有统计学意义(P均<0.05);术前两组患者生活质量评分对比,差异无统计学意义(P>0.05);出院时,两组患者生活质量评分均有所升高,且研究组高于比照组,差异有统计学意义(P<0.05).结论 宫颈癌前病变患者治疗中应用阴道镜联合LEEP术治疗,可降低并发症发生率,改善围术期指标,提高患者生活质量.
Abstract
Objective To explore the effect of colposcopy combined with LEEP knife(LEEP)on quality of life in the treatment of cervical precancerous lesions.Methods Fifty patients with cervical precancerous lesions admitted to the Department of Obstetrics and Gynecology of Nanping Maternal and Child Health Hospital from May 2021 to July 2023 were randomly selected as the research objects,and the grouping method was selected by random number table method.They were divided into comparison group(n=24)and research group(n=26).Cervical laser cautery,colpos-copy combined with LEEP were performed respectively.The clinical therapeutic effects of the two groups were com-pared.Results The total complication rate of research group 3.85%was lower than that of comparison group 25.00%,the difference was statistically significant(χ2=4.638,P<0.05).Compared with the comparison group,research group less intraoperative blood loss,operative time,drainage time and postoperative hospital stay were shorter,the differ-ences were statistically significant(all P<0.05).Preoperative quality of life scores of the two groups were compared,and the difference was not statistically significant(P>0.05).At discharge,the quality of life scores of both groups were increased,and the research group was higher than the comparison group,and the difference was statistically sig-nificant(P<0.05).Conclusion Colposcopy combined with LEEP in the treatment of cervical precancerous lesions can reduce the incidence of complications,improve perioperative indexes and improve the quality of life of patients.
关键词
宫颈癌前病变/阴道镜/LEEP/并发症/围术期指标/生活质量Key words
Precancerous lesions of cervical cancer/Colposcopy/LEEP/Complications/Perioperative indexes/Quality of life引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据