Conizacion con asas diatermias en lesiones premalignas de cuello uterino
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文摘

Objective

To compare the effectiveness of uterine conization in high-grade cervical squamous intraepithelial lesions (HSIL) by means of surgical electrical excision with Trucone loop or Leep loop.

Subjects and methods

We performed a comparative study that included 150 patients, aged between 20 and 45 years, with a diagnosis of HSIL. All patients underwent uterine conization with diathermy loop. The patients were separated into two groups according to the type of loop used.

Results

Both loops were effective in the management of HSIL but significant differences were found in favor of the Trucone loop in surgical time (X: 3.7 ¡À 0.52, p < 0.01), lesser margin involvement (100 % free margins, p < 0.05) and a lower frequency of residual lesions (94.7 % , p > 0.01).

Conclusions

Both diathermy loops were effective in the treatment of HSIL but the frequency of complications and residual lesions was lower with the Trucone loop.

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