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| Effect observation of day surgery by cold knife conization of cervix under intravenous anesthesia |
| Tianjin Baodi District People's Hospital, Tianjin, 301800 |
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Abstract To explore the efficacy of cold knife conization (CKC) in day surgery under intravenous anesthesia for treating patients with high grade squamous intraepithelial lesions (HSIL). Methods: In this retrospective cohort study, 189 patients with HSIL who had accepted CKC were included as the study subjects. Among these patients, 90 patients in the observation group were treated with day surgical management under intravenous anesthesia and 99 patients in the control group were treated with surgery under subarachnoid block for anesthesia. The open treatment of cervical wounds without shaping and reinforcement of the patients in the two groups were conducted. The satisfaction of surgery, the postoperative complication rate, the time of hospital stay, the score of postoperative pain evaluation, and the incidence of adverse reactions of anesthesia of the patients were compared between the two groups. Results: There were no significant differences in the operation time, the intraoperative blood loss, the cone height of surgical sample, the score of the postoperative pain evaluation, and the incidence of adverse anesthetic reactions of the patients between the two groups (P＞0.05), but the time of hospital stay of the patients in observation group was significantly shorter than that (5.6±1.2 d) of the patients in the control group (P=0.000). In the observation group, the opening treatment of cervical wound for the patients did not increase the incidences of their postoperative infection and bleeding. Conclusion: The patients with HSIL are treated by the day CKC surgery under intravenous anesthesia and their cervical wound are opening during the surgery, and which are safe and feasible.
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