宫颈电圈切除术在宫颈病变诊断中的临床观察  

Clinical Investigation of LEEP in the Diagnosis of Cervical Diseases

作　　者：黄锦华[1] 吴淑卿[1] 

机构地区：[1]广东省汕头市中心医院妇产科,广东汕头515041

出　　处：《河北医学》2005年第5期404-406,共3页Hebei Medicine

摘　　要：目的:探讨高频电波刀宫颈电圈切除术在宫颈病变诊断中的准确性。方法:将细胞学和阴道镜检查异常[CIN,ASCUS]的160例病人分成两组:对行阴道镜宫颈多点活检诊断为CIN≥II者78例行LEEP锥切术,采用自身对照法,对比研究其病理结果;CINI和ASCUS行活检术,采用阴道镜下宫颈多点活检术40例,LEEP活检术42例,追踪术后宫颈病变情况。结果:锥切组宫颈病变与阴道镜下宫颈多点活检术符合率,占69.2%(54/78),锥切组病理类型比阴道镜下宫颈多点活检组加重9例,占11.5%(9/78),术中情况相似,LEEP宫颈活检组术后3月复查,持续CIN3例,阴道镜下宫颈多点活检组持续CIN24例,其他手术情况相似。结论:LEEP能为宫颈上皮肉瘤样病变提供完整的病理标本,诊断的同时有治疗的作用,操作简单,安全,值得推广。Objective:To investigate the accuracy of loop electrosurgical excision procedure (LEEP) in the diagnosis of cervical diseases. Methods:160 cases with abnormal cytological and colposcopical findings, including cervical intraepithelial neoplasia (CIN) and atypical squamous cells of undermined significance (ASCUS), were studied. Conization of cervix with LEEP was performed in 78 cases (≥CIN2) by own control method. Cervical biopsy was performed in the cases of CIN1 and ASCUS, of which 42 cases by LEEP were compared with 40’s by multiple cervical biopsy(MCB) to investigate its pathological changes.and followed up after operation.Results: Compared with MCB , after conization of cervix, the pathological consistency rate was 69.2%(54/78) ,with 11.5%(9/78) worse cases,the operation duration and bleeding were similar. 3 persistent CIN cases were found after the three months re-examination in the group of cervical biopsy with LEEP,and 24 cases in the multiple cervical biopsy group. Conclusion: LEEP can not only offer intact sample for pathological diagnosis of the cervical intraepithelial neoplasia(CIN),but also provid therapeutic effect .It is simple and safe,which can be put in broad use.

关 键 词：高频电波刀 宫颈电圈切除术 诊断 

分 类 号：R713[医药卫生—妇产科学]