首页|宫颈环形电切术联合阴道镜治疗宫颈癌前病变患者的临床疗效

宫颈环形电切术联合阴道镜治疗宫颈癌前病变患者的临床疗效

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目的 分析宫颈癌前病变采取宫颈环形电切术(LEEP)联合阴道镜的治疗效果。方法 将60例宫颈癌前病变患者作为观察对象,以随机法分为观察组(30例)及对照组(30例)。观察组采取LEEP联合阴道镜治疗,对照组采取常规手术治疗。比较两组临床疗效,治疗前后肿瘤与炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)]水平,复发率及并发症发生率。结果 观察组总有效率96。7%高于对照组的70。0%(P<0。05)。治疗后,两组TNF-α、IL-6、CRP均低于治疗前,且观察组TNF-α(31。18±3。25)μg/L、IL-6(90。18±3。12)μg/L、CRP(21。18±3。24)mg/L低于对照组的(39。18±3。22)μg/L、(105。18±3。65)μg/L、(27。18±4。22)mg/L(P<0。05)。观察组并发症发生率6。7%及复发率3。3% 低于对照组的30。0%、20。0%(P<0。05)。结论 对宫颈癌前病变采取LEEP联合阴道镜治疗可提高临床效果,改善炎症状态与肿瘤细胞水平,较常规治疗更能降低术后并发症发生率,预防治疗后复发,值得推广应用。
Clinical efficacy of loop electrosurgical excisional procedure combined with colposcopy in the treatment of cervical precancerous lesions in patients
Objective To analyze the effect of loop electrosurgical excisional procedure (LEEP) combined with colposcopy in the treatment of cervical precancerous lesions in patients. Methods 60 patients with cervical precancerous lesions were randomly divided into an observation group (30 cases) and a control group (30 cases). The observation group was treated with LEEP combined colposcopy,and the control group was treated with conventional surgery. The clinical efficacy,levels of tumor and inflammatory factors[tumor necrosis factor-α (TNF-α),interleukin-6 (IL-6),C-reactive protein (CRP)]before and after treatment,recurrence rate and complication rate were compared between the two groups. Results The total effective rate of 96.7% in the observation group was higher than 70.0% in the control group (P<0.05). After treatment,TNF-α,IL-6 and CRP in both groups were lower than those before treatment;the observation group had TNF-α of (31.18±3.25) μg/L,IL-6 of (90.18±3.12) μg/L and CRP of (21.18±3.24) mg/L,which were lower than (39.18±3.22) μg/L,(105.18±3.65) μg/L and (27.18±4.22) mg/L in the control group (P<0.05). The observation group had complication rate of 6.7% and recurrence rate of 3.3%,which were lower than 30.0% and 20.0% in the control group (P<0.05). Conclusion LEEP combined with colposcopy in the treatment of cervical precancerous lesions can enhance clinical efficacy,improve inflammatory status and tumor cell levels,and lower the incidence of postoperative complications compared to conventional treatment,and prevent the recurrence after treatment. It is worth promoting and applying.

Loop electrosurgical excisional procedureColposcopyCervical precancerous lesions

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362000 泉州市第一医院妇科

宫颈环形电切术 阴道镜 宫颈癌前病变

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(23)