LEEP刀术后出血原因分析及对策.docVIP

LEEP刀术后出血原因分析及对策 　　【摘 要】目的：本研究将对妇科常见病宫颈糜烂等行LEEP刀手术术后创面出血的原因以及处理对策展开分析讨论。方法：选取我院所诊治的140例行LEEP刀手术治疗术后出血的患者临床资料进行回顾性分析，对患者在LEEP刀手术术后出现创面出血的原因进行分析。结果：在所有患者中，有89例宫颈重度糜烂，35例宫颈中度糜烂， 16例宫颈轻度糜烂， 有35例术中电凝难以止血，其概率为25%，90例术后10～15天月经期前创面脱痂出血，其概率为64.29%，15 例患者在手术后20～30天月经期及月经期后出现创面出血，其概率为10.71%。结论：LEEP刀手术后出血主要与手术时手术切除范围过大过深、创面脱痂、过早干重活、术前近期患阴道炎等因素有关。预防可通过术前做好准备，术中注意手术技巧，术后合理使用抗生素，避免过早于重体力活等进行预防。 　　【关键词】LEEP刀手术；出血；原因；对策 　　The analysis of the causes of bleeding after LEEP sabreplay and countermeasures 　　Chen liping 　　Revolutionary disabled veterans hospital 610502 　　[Abstract]Objective： this research will cause of gynecological LEEP knife operation postoperative wound bleeding common disease of cervical erosion and the countermeasures are discussed. Methods： the clinical data from 140 cases of hemorrhage in patients with LEEP operation therapy in our hospital after the diagnosis and treatment were retrospectively analyzed， the causes of bleeding in patients after LEEP knife operation analysis. Results： in all patients， there were 89 cases of severe cervical erosion， 35 cases of cervical moderate erosion， 16 cases of cervical mild erosion， 35 cases electrocoagulation to hemostasis， the probability is 25%， 90 cases after 10～15 days before menses exuvial hemorrhage， the probability is 64.29%， in 15 patients operation 20～30 days after menses and menstrual period after the wound bleeding， the probability is 10.71%. Conclusion： the main and operation operation excision scope is too large and too deep， exuvial， early to do heavy work， preoperative factors suffering from vaginitis of recent hemorrhage after LEEP operation. Prevention through the preoperative preparation， operation skill in surgery， the rational use of antibiotics after operation， to avoid premature heavy manual work of prevention. 　　[Key words]LEEP operation ； Bleeding； Causes； Countermeasures 　　慢性宫颈炎好发于21～65岁妇女，宫颈糜烂是慢性宫颈炎的一种形式，严重影响患者生活[1]。积极治疗不仅可以提高患者生活质量，同时也是预防宫颈癌的重要措施[2]。我国大部分地区广泛应用LEEP刀治疗，该手术损伤小，出血少，且能保留生育功能及盆腔