宫颈环形电切术与阴道套扎术治疗宫颈黏膜下肌瘤的疗效比较
Comparison of effects between Leep knife operation and Vaginal ligation operation in submucous uterine myoma
目的 比较宫颈环形电切术(LEEP)与阴道套扎术治疗宫颈黏膜下肌瘤的临床疗效.方法 选择宫颈黏膜下肌瘤患者63例,按数字表法随机分为观察组和对照组,观察组33例采用经阴道LEEP,对照组30例采用阴道套扎术,比较两组临床效果.结果 观察组手术时间、术中出血量、手术残端出血发生率、月经紊乱改善率分别为(8±3) min、(7±3)mL、0.0%、91.0%,对照组分别为(10±3) min、(10±4)mL、13.3%、70.0%,两组差异均有统计学意义(t=2.642、3.387,x2=4.698、4.455,均P<0.05).结论 LEEP治疗宫颈黏膜下肌瘤手术时间短、术中出血量少、并发症发生率低,优于阴道套扎术,值得在基层医院推广应用.
更多Objective To compare the clinical application value between Leep knife operation and Vaginal ligation operation in submucous uterine myoma during the basic-level hospital.Methods According to digital table method,63 cases with submucous uterine myomas were randomly divided into the trial group and control group,33 cases in the trial group used the Leep knife,30 cases in the control group used vaginal ligation operation.Results The amounts of the trial group such as operation time,complications bleeding,operation stump bleeding rate and menstrual disorder improvement rate were (8 ± 3)min,(7 ± 3)mL,0.0%,91.0%,while the amounts of the control group were (10 ± 3) min,(10 ± 4) mL,13.3%,70.0%.The difference was statistically significant (t =2.642,3.387,x2 =4.698,4.455,all P < 0.05).Conclusion Leep knife operation is better than Vaginal ligation operation,because it has shorter operation time,less complications bleeding,lower operation stump bleeding rate and higher menstrual disorder improvement rate.It is worthy of applying in the basic-level hospital.
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