宫颈环形电切术诊治宫颈病变187例临床分析  

Clinical Analysis on Loop Electrosurgical Excision Procedure for Diagnoses and Treatment of 187 Patients With Cervical Pathological Changes

作　　者：胡彦新[1] 文晓燕 李芳[1] 

机构地区：[1]西安市红十字会医院妇产科,710054

出　　处：《美中国际创伤杂志》2012年第3期28-30,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨宫颈环形电切术（LEEP）在宫颈病变（各种慢性宫颈炎、宫颈上皮内瘤变）诊治中的临床应用价值。方法：对妇科检查、细胞学及阴道镜下活检诊断为各种宫颈病变187例，采用环形电刀行宫颈环切术。结果：LEEP治疗宫颈疾病的成功率为100％，平均手术时间为5min，出血量10ml，无继发性出血及感染发生，手术标本病理诊断，其与阴道镜下宫颈活检病理诊断符合率为96％。结论：LEEP治疗宫颈病变安全有效、并发症少、复发率低，值得临床推广使用。Objective： To discuss the clinical value of loop electrosurgical excision procedure （LEEP knife） for diagnoses and treatment of cervical pathological changes （such as chronic cervicitis, cervical intraepithe- lial neoplasia etc.）. Methods： 187 cases were diagnosed as cervical pathological changes by gynecological examination, cytology and biopsy under vaginoscope, as well as cervical circumcision with ring-shaped elec- trotome was performed on all patients. Results： Achievement ratio of LEEP for cases of cervical pathological changes was 100%, mean time of operation was 5min and intra-op blood loss was only 10ml, no secondary hemorrhage or infection was noted postoperatively. Histologic findings revealed that pathological diagnose ac- cordance rate of LEEP was 96% when compared with cervical biopsy through colposcopy. Conclusion： LEE P is a safe, convenient and effective method for treatment of cervical pathological changes. It has fewer com- plications and lower recurrence rate. It is worth to spread and use for the clinic.

关 键 词：子宫颈病变 宫颈上皮内瘤变 宫颈环形电切术 

分 类 号：R711.74[医药卫生—妇产科学]