宫颈电圈环切术对宫颈上皮内瘤样病变和宫颈早期浸润癌的诊断价值  

Evaluation of LEEP in the diagnosis of cervical intraepithelial neoplasia and early cervical infiltrating carcinoma

作　　者：吴红[1] 王玲[1] 王海云[1] 

机构地区：[1]同济大学附属第一妇婴保健院宫颈疾病中心,上海200030

出　　处：《同济大学学报（医学版）》2011年第1期92-94,共3页Journal of Tongji University(Medical Science)

摘　　要：目的明确宫颈电圈环切术(loop electro-surgical excisional procedure,LEEP)在宫颈上皮内瘤变及早期浸润癌的诊断价值。方法回顾性分析经"宫颈细胞学-阴道镜下检查-活检后病理组织检查"有宫颈上皮内瘤样病变(cervical intraepithelial neoplasia,CIN)而行LEEP术的患者547例,采用自身对照方法。结果对比研究LEEP术前、术后病理结果,术后病理结果升高49例(8.9%),相同166例(30.3%),降级332例(60.6%),发现镜下早浸癌的3例,浸润癌3例。宫颈电圈术主要并发症是术后出血,颈管粘连。结论宫颈电圈环切术在诊断宫颈上皮内瘤样病变有其优势,在发现宫颈镜下早浸癌方面有其独特的价值。Objective To evaluate the clinical value of loop electro-surgical excisional procedure（LEEP） in the diagnosis of cervical intraepithelial neoplasia（CIN）and early cervical infiltrating carcinoma.Methods Five hundred and forty-seven patients with CIN diagnosed by cytology-colposcopy-histology were analyzed retrospectively and compared with pathology between LEEP and colposcopic multiple biopsies.Results There were 49 cases showing higher grade pathology,166 cases similar grade pathology,332 cases lower grade pathology after LEEP.Among them,3 cases were early cervical cancer and 3 cases were infiltrating carcinoma.The main complications of LEEP were bleeding and cervical adherence.Conclusion LEEP plays an important role in the diagosis of CIN,especially in early cervical cancer.

关 键 词：电圈环切术 阴道镜下多点活检 宫颈病变 

分 类 号：R713.4[医药卫生—妇产科学]