LEEP治疗宫颈上皮内瘤变256例临床分析  

Clinical Analysis of 256 Cases of Cervical Intraepithelial Neoplasia Treated by LEEP

作　　者：裴雪梅[1] 

机构地区：[1]广东省江门市妇幼保健院,广东江门529000

出　　处：《河北医学》2009年第10期1163-1165,共3页Hebei Medicine

摘　　要：目的:探讨LEEP在宫颈上皮内瘤变(CIN)治疗中的优势。方法:选取2007年4月至2009年4月在江门市妇幼保健院就诊的CINШ和原位癌500例,将她们随机分为LEEP组和冷刀(CKC)组,就手术情况及并发症,对妊娠分娩影响等方面进行对比分析。结果:LEEP组较冷刀组手术时间短,出血少,无需住院及麻醉。LEEP组手术后患者妊娠后发生流产及早产儿的机率低于冷刀组(P<0.05),有统计学意义。术后病理切缘阳性率不高于冷刀组。结论:LEEP是一种损伤少,简便易行治疗CINШ和原位癌的手术方法。在治疗宫颈上皮内瘤变中有不可替代的作用,可以取代冷刀锥切。Objective： To investigate the value of LEEP in treating CIN . Method： 500 patients with CINIII and carcinoma in situ who need to be treated in our hospital , from April 2007 to April 2009 were randomly divided into LEEP group and cold knife conization （CKC） group. The results, complations and the effects of pregnancy and delivery were compared between the two groups. Result： The amounts of bleeding the time of operation, the rate of abortion and premature delivery after operation of LEEP group were all significantly less than those of CKC （ p 〈 0.05 ） , there was obvious difference between the two groups. LEEP group needs no anaesthesia and hospitalization. The positive rate of the edge of pathologic slice up after operation showed no difference. Conclusion： LEEP can be a less damage to human body and simple quick method for treating CIN and CIS, it may substitue CKC.

关 键 词：宫颈上皮内瘤变 LEEP 冷刀 宫颈锥切 

分 类 号：R737.33[医药卫生—肿瘤]