宫颈冷刀锥切术后尿管留置及纱布填塞情况的临床研究.

Objective To investigate the effect of no indwelling urinary catheter and vaginal gauze packing after cervical cold knife conization(CKC) on patients with cervical intraepithelial neoplasia grade Ⅱ-Ⅲ(CIN Ⅱ-Ⅲ). Methods A total of 134 patients with CINⅡ-Ⅲ and who underwent CKC in this hospital from January to November 2021 were divided into the observation group and the control group, with 67 cases in each group. After CKC was performed, patients in the observation group were not packed with vaginal gauze, and indwelling urinary catheters were fit in place. By contrast, patients in the control group were packed with vaginal gauze, and indwelling urinary catheters were fit in place. The postoperative complications, duration of hospital stay and hospitalization expenses of the two groups were compared. Results The incidence of postoperative fever and infection, related postoperative discomfort, hospitalization length and expenses in the observation group were better than those in the control group, with statistically significant differences(P<0. 05). There was no significant difference in the incidence of postoperative vaginal bleeding between the two groups(P>0. 05). Conclusion Urinary catheter indwelling and vaginal gauze packing may not be performed routinely in patients with CIN Ⅱ-Ⅲ after CKC. [ABSTRACT FROM AUTHOR]