LEEP治疗宫颈上皮内瘤样病变172例临床研究  

Clinical Research on the Treatment of 172 Patients with Cerrical Intraepithclial Neoplasia by LEEP

作　　者：唐霓[1] 胡庆兰[1] 黄华仪[1] 

机构地区：[1]广东省暨南大学第5附属医院清远市人民医院,广东清远511500

出　　处：《中外医疗》2009年第21期21-22,共2页China & Foreign Medical Treatment

摘　　要：目的评价子宫颈电环锥切术应用于宫颈上皮内瘤变(CIN)的诊治价值。方法对我院2004年3月至2008年12月诊断为CINI-Ⅲ的患者共298例。随机分为2组,分别采用宫颈电环锥切术治疗172例,采用冷刀锥切术治疗126例。对2组手术情况进行比较分析。结果LEEP组手术时间、术中出血量、手术切缘阳性率与冷刀锥切组比较均有显著差异。术后出血、宫颈管狭窄发生率、手术治愈率、术后病变持续存在率及复发率无显著差异。结论宫颈电环锥切术是诊断与治疗宫颈上皮内瘤样病变有效而安全的方法,但需掌握适应征,术后需严密随访,防止复发。Objective To assess the value of loop electro--surgical excision procedure （LEEP）for the diagnosis and management of cerrical intraepithclial neoplasia（CIN）.Methods 298 case diagnosed by pathology with C1NI--Ⅲ from March 2004 to December 2007 were studied in our hospital,of which 172 cases were treated by LEEP and 126 cases by Cold knife conization（CKC）. And compared them.Result CKC surgery than LEEP treatment for a long time, more blood loss,and less positive cone margin.The rate of postoperative bleeding,cervical straitness, the residual CIN occurred,recurrence and the overallcure was no significant difference in two Group. Conclusion LEEP is a kind of effective,safe method for the treatment of CIN,but it is needly mastering surgical indications.The patients are to be followed up carefully after surgery,prevented fhe recurrence.

关 键 词：宫颈上皮内瘤变 宫颈电环切除术 宫颈冷刀锥切术 

分 类 号：R711[医药卫生—妇产科学]