LEEP治疗宫颈原位癌36例临床分析  

Clinical analysis on 36 cases with cervical carcinoma in situ treated by loop electrosurgical excision procedure

作　　者：陈素琴[1] 李全香[1] 文顺金[1] 曲瑞芳[1] 王江莉[1] 

机构地区：[1]河北医科大学第二医院妇产科,河北石家庄050000

出　　处：《中国妇幼保健》2010年第4期554-556,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨宫颈高频电刀环切术(LEEP)在宫颈原位癌(CIS)中的治疗价值。方法:回顾性分析我院1998年6月～2007年5月因宫颈原位癌而行LEEP或子宫全切术的临床病理资料共95例,其中36例行LEEP术,59例行子宫全切术。观察两组手术时间、手术出血量及术后疗效。结果:原位癌治疗中两种方法在平均手术时间、出血量有统计学差异(P<0.05);在术后并发症、复发、术后5年更年期症状等方面,两组比较无显著差异(P>0.05)。结论:经细胞学、阴道镜检查及病理学诊断的宫颈原位癌,LEEP技术既是明确诊断的方法,又是有效地治疗手段,但术后应严密随访。对于年轻的宫颈原位癌患者可行LEEP治疗,缩小手术范围以保留生育功能;对无生育要求或切缘阳性者应以全子宫切除术作为常规术式。Objective： To explore the therapeutic value of loop electrosurgical excision procedure （LEEP） in treatment of cervical carcinoma in situ （CIS） . Methods： Clinical pathologic data of 95 cases with CIS from June 1998 to May 2007 were analyzed retrospectively, 36 cases underwent LEEP and 59 cases underwent hysterectomy. The operation time, hemorrhage volume and clinical efficacy in the two groups were compared. Results： There was significant difference in average operation time and hemorrhage volume between the two groups （P 〈0. 05）; but there was no significant difference in postoperative complications, recmTence and menopausal symptoms between the two groups （ P 〉 0. 05 ） . Conclusion ： For the cases with CIS diagnosed by cytology, colposcopy and pathological examination, LEEP is an effective diagnosis and treatment method, but postoperative follow - up should be strengthened. For the young patients who want to preserve their reproductive function, range of operation should be reduced ; but for the patients who have no birth demand or with positive cutting margin, total hysterectomy is necessary.

关 键 词：LEEP 子宫全切术 宫颈原位癌 阴道镜 

分 类 号：R737.33[医药卫生—肿瘤]