Thomsen C F, Helkjaer P E, Skovdal J, Eriksen P S
Gynaekologisk obstetrisk afdeling, Centralsygehuset i Naestved.
Ugeskr Laeger. 1992 Dec 7;154(50):3590-3.
The aim of the study was to evaluate the acceptability of CO2 laser excisional conization for cervical intraepithelial neoplasia under local anaesthesia in an outpatient setting. Seventy-seven patients, who underwent this procedure, were interviewed three months later concerning pain during treatment, pain and bleeding in the immediate postoperative period, and their general opinion about this procedure. The median duration of surgery was 11 minutes. The postoperative median observation time was 90 minutes. Seventy-one women experienced no discomfort during treatment. Thirty-one patients needed mild analgesics for an average of three days. Bleeding continued for a mean of 7.7 days after treatment and 73% experienced the bleeding as less, 8% as more as compared to menstrual bleeding. Ninety-two percent of the women would prefer this procedure if they had to undergo conization once again. In conclusion, we found a high acceptability in women treated with CO2 laser excisional conization under local anaesthesia in an outpatient setting.
本研究的目的是评估在门诊局部麻醉下，二氧化碳激光切除锥形切除术治疗宫颈上皮内瘤变的可接受性。对接受该手术的77例患者在三个月后进行了访谈，内容涉及治疗期间的疼痛、术后即刻的疼痛和出血情况，以及她们对该手术的总体看法。手术的中位持续时间为11分钟。术后中位观察时间为90分钟。71名女性在治疗期间未感到不适。31例患者平均需要三天的轻度镇痛药。治疗后出血平均持续7.7天，73%的患者出血比月经血少，8%的患者出血比月经血多。如果必须再次接受锥形切除术，92%的女性会选择该手术。总之，我们发现在门诊局部麻醉下接受二氧化碳激光切除锥形切除术治疗的女性中，该手术具有较高的可接受性。
