CIN Ⅲ的临床治疗分析  

Clinical treatment analysis of CIN Ⅲ

作　　者：施荣慧 刘红[1] 王超[1] 

机构地区：[1]江苏省句容市人民医院妇产科,212400

出　　处：《中国社区医师》2017年第32期73-74,共2页Chinese Community Doctors

摘　　要：目的:探讨宫颈环形电切术(LEEP)和全子宫切除术对CIN Ⅲ的治疗效果。方法:收治CIN Ⅲ患者101例,49例采用LEEP治疗(单纯LEEP组),52例采用全子宫切除术治疗(全子宫切除组),比较两组治疗效果。结果:两组术后病理结果与术前符合率差异有统计学意义(P<0.05);术后6个月,两组BD和HPV检查结果比较,差异无统计学意义(P>0.05)。结论:LEEP是治疗CIN Ⅲ的有效方法,对子宫颈明显萎缩或合并卵巢、子宫疾病的患者可行全子宫切除术。尽可能实现各个年龄阶段的患者保留子宫的意愿。Objective：To investigate the effect of loop electrosurgical excision procedure（LEEP） and total hysterectomy in the treatment of CIN Ⅲ.Methods：101 patients with CIN Ⅲ were selected.49 patients were treated with LEEP（the LEEP group）,and 52 patients were treated with total hysterectomy（the total hysterectomy group）.We compared the efficacy of two groups.Results：There was significant difference between groups in postoperative pathological findings and preoperative compliance rate（P〈0.05）.At 6 months after the operation,there was no significant difference between groups in BD and HPV（P〉0.05）.Conclusion：LEEP was an effective method for the treatment of CIN Ⅲ.We can choose total hysterectomy for patients with obvious atrophy of the cervix or associated with ovarian and uterine diseases.We should realize the will of women of all ages to keep the uterus as far as possible.

关 键 词：宫颈上皮内瘤变Ⅲ级 宫颈环形电切术 全子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]