宫颈环行电切术诊治宫颈病变的临床应用  

Evaluation of loop electrosurgical excision procedure in the diagnosis and treatment of cervical diseases

作　　者：刘伏先 史佃云[2] 邹琼[2] 

机构地区：[1]安钢集团永通公司医院,河南安阳455133 [2]解放军第八一医院

出　　处：《中国妇幼保健》2007年第30期4295-4297,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨宫颈环行电切术(LEEP)诊治宫颈病变的临床应用价值。方法:对478例LEEP诊治的宫颈病变患者进行回顾性分析,所有病例均行宫颈细胞学检查,阴道镜检查和LEEP术后病理诊断,在炎症和赘生物病变外缘3 mm进出电极,对于宫颈上皮内瘤变(corvical intraepithelial neoplasm,CIN)患者,电极在病变边缘外5 mm进出。结果:LEEP治疗的宫颈病变治愈率为97.91%,CIN残留率(1.27%)和复发率(1.27%)低。结论:LEEP对炎症、赘生物、CIN等宫颈病变是一种非常理想的诊断、治疗手段。但术后仍需定期和规范的随访,以防止宫颈癌的发生和发展。Objective： To study loop electrosurgical excision procedure （LEEP） in the diagnosis and treatment of cervical lesions, Methods： 478 patients with cervical lesions underwent LEEP were studied. All the patients were treated by excision of 3mm or 5mm outside from the outskirts of the cervical lesions following colpnscopy and biopsy. Results： The overall cure rate in this study was 97.91% after first LEEP done. The residual CIN was identified in 1 patient （ 1.27% ） . The recurrence CIN occurred in 1 patient （ 1.27% ） . There was difference between biopsies directed by colposcope and LEEP specimens （P 〈 0.05 ） . Conclusion： LEEP is a good method to diagnosis and treatment cervical lesions, especially in the treatment of CIN. Of course, after LEEP, regular follow up is needed to prevent the occurrence and the development of cervical carcinoma.

关 键 词：宫颈环行电切术 宫颈病变 阴道镜检查 

分 类 号：R719[医药卫生—妇产科学]