[摘要]目的：探究宫颈环形电切术治疗宫颈上皮内瘤变的临床效果。方法：选取2020年5月至2022年6月胜利油田中心医院妇科收治的120例宫颈上皮内瘤变患者，依据随机数字表法进行分组，对照组（60例）行常规宫颈冷刀锥切术治疗，研究组（60例）采取宫颈环形电切术治疗，比较两组患者的手术治疗指标、病灶切除状况及术后并发症发生情况。结果：研究组的手术时间、切口愈合时间[（13.35±1.21）min、（26.26±2.47）d]短于对照组[（27.42±2.25）min、（36.74±3.40）d]，术中出血量[（13.73±1.57）ml]少于对照组[（29.47±2.36）ml]，差异有统计学意义（P<0.05）。研究组的锥切面积[（4.17±1.18）cm2]小于对照组[（5.14±1.42）cm2]，椎体高度[（1.35±0.41）cm]低于对照组[（2.23±0.56）cm]，差异有统计学意义（P<0.05）。研究组的术后并发症总发生率为8.33%，低于对照组的25.00%（P<0.05）。结论在宫颈上皮内瘤变患者临床治疗中应用宫颈环形电切术效果确切，能够缩短手术时间，降低术中风险及术后并发症，且锥切面积较小，椎体高度较低，对患者创伤更小，有利于术后切口愈合及身心恢复，值得临床推广应用。

[Abstract] Objective To explore the clinical effect of cervical annular resection in the treatment of cervical intraepithelial neoplasia. Methods A total of 120 patients with cervical intraepithelial neoplasia admitted to the Department of Gynecology, Shengli Oilfield Center Hospital from May 2020 to June 2022 were selected and divided into two groups according to the random number table method. The control group (60 cases) was treated with conventional cervical cold knife conization, and the research group (60 cases) was treated with cervical annular resection. The surgical treatment indexes, lesion resection status and postoperative complications were compared between the two groups. Results The operation time and incision healing time in the research group ([13.35±1.21] min, [26.26±2.47] d) were shorter than those in the control group ([27.42±2.25] min, [36.74±3.40] d). The intraoperative blood loss in the research group ([13.73±1.57] ml) was less than that in the control group ([29.47±2.36] ml). The differences were statistically significant (P < 0.05). The conization area of the research group ([4.17±1.18] cm2) was smaller than that of the control group ([5.14±1.42] cm2), the height of vertebral of the research group ([1.35±0.41] cm) was lower than that of the control group ([2.23±0.56)] cm), and the differences were statistically significant (P < 0.05). The total incidence of postoperative complications in the research group was 8.33%, which was lower than 25.00% in the control group (P < 0.05). Conclusion The application of cervical annular resection in the clinical treatment of patients with cervical intraepithelial neoplasia has a significant effect, which can shorten operation time, reduce the intraoperative risk and postoperative complications, and the conization area is small, the vertebral height is low, the trauma to patients is less. It is conducive to postoperative incision healing and physical and mental recovery, and is worthy of clinical application.

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