LEEP在宫颈癌前病变诊治中的应用  

The Application of LEEP in Cervical Intraepithelial Neoplasia

作　　者：李芹[1] 马汝婵 徐文虎[1] 

机构地区：[1]江苏省盐城市妇幼保健院妇产科,江苏盐城224002

出　　处：《河北医学》2010年第1期58-60,共3页Hebei Medicine

摘　　要：目的:探讨宫颈电热圈环切术(Leep)在宫颈癌前病变(CIN)中的诊断及治疗价值。方法:对阴道镜下定点活检病理组织学诊断为CIN者128例,给予LEEP手术。LEEP标本全部送病理检查。观察手术时间、出血量、术后疗效及诊断符合率。结果:LEEP术治疗CIN一次成功率高,出血少,术后并发症少,阴道镜下活检与LEEP标本的病理诊断有差异。结论:LEEP诊治CIN操作简单、安全,治疗效果明显,可提供完整的病理标本,避免了二次手术和过度治疗,并且对早期诊断宫颈原位癌或微小浸润癌具有极高的临床价值。Objective： To evaluate the loop electrosurgical excision procedure （ LEEP ） in the diagnosis and treatment of cervical ntraepithelial neoplasia （ CIN ） . Method： A retrospective study of 128 women who underwent LEEP conization for （ cervical intraepithelial neoplasia, CIN ） by fixed point biopsy under colposcopy, all specimens with pathology, observed the operative time,blood loss, post -operatiive efficacy and coincidence rate of diagnosis. Result： LEEP had the merits of high one - time success rate, little blood loss, less complication, and The diagnostic results of LEEP was compared with that of bioptic pathology. Conclusion： LEEP is a safe and effective treating method to CIN, and it can provide the intact pathological specimens avoiding second operation and over - treatment, and it has high value for the diagnosis of carcinoma in situ of cervix and microinvasive carcinoma.

关 键 词：LEEP 宫颈癌前病变 

分 类 号：R737.33[医药卫生—肿瘤]