宫颈锥切术后改良Sturmdorf缝合对阴道镜下细胞学检查确诊为CIN病变患者的治疗效果

摘要/Abstract

摘要： 目的探讨宫颈锥切术后改良Sturmdorf缝合对阴道镜下细胞学检查确诊为宫颈上皮内瘤样病变（cervical intraepithelial neoplasia,CIN）患者的治疗效果。方法选取阿克苏地区第一人民医院2020年1月—2022年1月收治的64例通过阴道镜下细胞学检查确诊为CIN的患者作为研究对象,应用随机数表法分为观察组与对照组,每组32例。对照组患者采取传统手术及缝合方法,观察组患者采取宫颈锥切术后改良Sturmdorf缝合法治疗,对比两组患者相关围术期指标、临床疗效、术后并发症、出血以及宫颈外观满意度情况。结果观察组患者术中出血量少于对照组,手术时间长于对照组,切口愈合时间和住院时间短于对照组,差异有统计学意义（P<0.05）。两组治疗总有效率比较,差异无统计学意义（P>0.05）。观察组患者术后宫颈黏膜增生、宫颈管狭窄、盆腔炎等并发症发生率、术后出血发生率明显低于对照组,宫颈外观满意度明显高于对照组,差异有统计学意义（P<0.05）。结论对阴道镜下细胞学检查确诊为CIN的患者采取宫颈锥切术后改良Sturmdorf缝合疗效显著,与传统手术及缝合方法相比可减少患者术中出血量,缩短手术时间,促进患者早日康复,同时能够减少患者术后并发症发生及出血现象,且宫颈外观满意度较好,值得临床应用。

关键词: 宫颈锥切术, Sturmdorf缝合, 阴道镜下细胞学检查, 宫颈上皮内瘤样病变, 并发症

Abstract: Objective To investigate the therapeutic effect of modified Sturmdorf suture after cervical conization on patients with cervical intraepithelial neoplasia (CIN) confirmed by cytological examination under colposcopy. Methods 64 patients with CIN confirmed by colposcopy cytology in the First People's Hospital of Aksu District from January 2020 to January 2022 were selected as the study subjects. They were divided into observation group and control group by random number table method, with 32 patients in each group. The patients in the control group were treated with traditional surgery and suture, while the patients in the observation group were treated with modified Sturmdorf suture after cervical conization. The relevant perioperative indexes of the two groups were compared, and their clinical efficacy, postoperative complications, bleeding and satisfaction with cervical appearance were compared. Results The intraoperative blood loss in the observation group was less than that in the control group, the operation time was longer than that of the control group, and the incision healing time and hospital stay were shorter than those in the control group (P<0.05). There was no significant difference in the total effective rate between the observation group and the control group (P>0.05). The incidence of postoperative complications such as cervical mucosa hyperplasia, cervical canal stenosis, pelvic inflammatory disease and postoperative bleeding in the observation group was significantly lower than that in the control group, and the satisfaction degree of cervical appearance in the observation group was significantly higher than that in the control group (P<0.05). Conclusion The modified Sturmdorf suture after cervical conization is effective for the patients with CIN disease confirmed by cytological examination under colposcopy. Compared with traditional surgery and suture, it can reduce the amount of bleeding and operation time of the patients during operation, promote the early recovery of the patients, and reduce the postoperative complications and bleeding of the patients. Moreover, the satisfaction of cervical appearance is good, which is worthy of clinical application and promotion.

Key words: cervical conization, sturmdorf suture, cytological examination under colposcopy, cervical intraepithelial neoplasia, complication

中图分类号:

R711

丁成玉, 梁艳, 张海娟, 张媛媛. 宫颈锥切术后改良Sturmdorf缝合对阴道镜下细胞学检查确诊为CIN病变患者的治疗效果[J]. 中华养生保健, 2023, 41(19): 43-46.

DING Cheng-yu, LIANG Yan, ZHANG Hai-juan, ZHANG Yuan-yuan. Treatment Effect of Modified Sturmdorf Suture after Cervical Conization on Patients with CIN Disease Confirmed by Cytological Examination under CColposcopy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(19): 43-46.

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