TCT联合阴道镜宫颈活检和LEEP诊治宫颈病变200例临床分析  

Clinical analysis on 200 cases with cervical lesions diagnosed and treated by TCT combined with cervical biopsy under colposcope and LEEP

作　　者：张敦兰[1] 雷燕[1] 周丽敏[1] 

机构地区：[1]湖北省妇幼保健院,湖北武汉430070

出　　处：《中国妇幼保健》2011年第36期5807-5808,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨TCT联合阴道镜检查诊断宫颈病变的准确率和LEEP术诊治宫颈病变的效果。方法:对TCT联合阴道镜宫颈活检初步诊断为宫颈疾病者200例采用LEEP术治疗,切除组织行病理检查。结果:TCT联合阴道镜宫颈活检结果与LEEP术后病理结果的诊断符合率为97.00%,两者无显著性差异;LEEP术并发症发生率为8.9%。结论:TCT联合阴道镜宫颈活检与LEEP术后病理诊断无显著性差异,是宫颈上皮内瘤变及癌前病变筛查的较好方法;LEEP术是一种较好的确诊和治疗宫颈病变的方法。Objective：To explore the accurate rate of TCT combined with colposcopy for diagnosis of cervical lesions and the efficacy of loop electrosurgical excision procedure（LEEP） for diagnosis and treatment of cervical lesions.Methods：200 cases who were diagnosed as cervical lesions by TCT combined with cervical biopsy under colposcope were treated with LEEP,then the excised tissue samples were collected for pathological examination.Results：The diagnostic accordance rate of TCT combined with cervical biopsy under colposcope and pathological examination after LEEP was 97.00%,there was no significant difference between the two methods;the incidence of complications after LEEP was 8.9%.Conclusion：There is no significant difference in the accurate rate for diagnosis of cervical lesions between TCT combined with cervical biopsy under colposcope and pathological examination after LEEP,TCT combined with cervical biopsy under colposcope is a good method to screen cervical intraepithelial neoplasia and precancerous lesion of cervix;LEEP is a good method for definite diagnosis and treatment of cervical lesions.

关 键 词：液基细胞学 阴道镜 宫颈上皮内瘤变 高频电刀环切术 

分 类 号：R711.74[医药卫生—妇产科学]