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目的:比较宫颈冷刀锥切术中改良S缝合术与8字缝合术式的疗效。方法:回顾分析2009年1月至2013年12月本院行宫颈冷刀锥切术的54例患者的临床资料,其中研究组30例采用缝扎子宫动脉下行支+改良sturdorf缝合术成形宫颈;对照组24例采用8字缝合+碘伏纱块加压法止血。对两组患者的临床疗效进行观察比较。结果:研究组手术时间、术中出血量、术后出血量、住院时间、宫颈管狭窄发生例数均少于对照组(P<0.05),两者术后病理诊断无差异。结论:改良S缝合术能有效减少术中和术后出血,减少住院时间,能提高宫颈冷刀锥切术的疗效,值得临床推广。
Objective: To compare the curative effect of modified S-suture and 8-suture in cervical cold-knife conization. Methods: The clinical data of 54 patients with cervix cold knife conization in our hospital from January 2009 to December 2013 were retrospectively analyzed. Among 30 patients in study group, the uterine branches were made by sutured uterine artery and modified sturdorf suture. The control group of 24 patients with 8-suture + iodoform yarn pressure to stop bleeding. The clinical efficacy of two groups of patients were observed and compared. Results: The operation time, intraoperative blood loss, postoperative blood loss, length of hospital stay and cervical canal stenosis in the study group were all less than those in the control group (P <0.05). There was no difference in pathological diagnosis between the two groups. Conclusion: Improved S-suture can effectively reduce intraoperative and postoperative bleeding, reduce hospital stay, can improve the efficacy of cervical cold knife conization, worthy of clinical promotion.