LEEP术在宫颈上皮内瘤变中的诊治价值  

The value of LEEP in diagnosis and treatment of cervical intraepithelial neoplasia

作　　者：姚红霞[1] 王玲[1] 吴红[1] 陈琦[1] 

机构地区：[1]同济大学附属第一妇婴保健院宫颈病中心,上海200040

出　　处：《同济大学学报（医学版）》2009年第3期106-109,131,共5页Journal of Tongji University(Medical Science)

摘　　要：目的评价LEEP术在宫颈上皮内瘤样病变中的诊治价值。方法回顾性分析674例经阴道镜诊断为CIN，后行LEEP手术治疗的患者的手术，预后及病理级别变化的情况。结果手术时间4-18 min，中位数为8 min。术中出血5-25 ml，中位数为9 ml；术后CIN分级上升的共有63例，占总例数的9.4%，级别相等的病例共有220例，占总例数的32.6%，术后分级下降的有391例，占总例数的58%。术后切缘累及共50例，占总病例数的7.73%。术后随访治愈率达98.7%。结论LEEP术在宫颈上皮内瘤变的诊治中有着重要的价值，是疾病治疗的首选方法。Objective To evaluate the value of loop electrosurgical excision procedure （LEEP） in diagnosis and treatment of cervical intraepithelial neoplasia. Methods Six hundred and seventy-four cases with cervical intraepithelial neoplasm diagnosed by biopsy were treated by LEEP. The prognosis and changes of pathological grades were studied. Results The operation time lasted 4 - 18 min and the median was 8 min. The amount of blood loss was 5 - 25 ml and the median was 9 ml. The pathological grade went up in 63 cases （9.4%） and had no change in 220 cases （32, 6% ） while grade went down in 391 cases （58%）. Margin specimens were involved in 50 cases （7.73 % ）. The following up curative rate was 98.7 %. Conclusion LEEP has important value in diagnosis and treatment of cervical intraepithelial neoplasia, it is the first choice for the treatment of CIN.

关 键 词：宫颈上皮内瘤变 阴道镜 高频电波刀 

分 类 号：R711.32[医药卫生—妇产科学]