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目的探讨高频电波刀(LEEP)在宫颈上皮内瘤变(CIN)的治疗价值。方法收集1216例在我院行阴道镜多点活检及LEEP治疗后病理结果的临床分析。结果以LEEP术后病理结果为准,与阴道镜活检的病理结果诊断符合率,其中CINⅠ符合率为90.74%,CINⅡ符合率为71.22%,CINⅢ符合率为77.89%。LEEP术后发现原位癌18例,早期浸润癌15例。随访至今17例复发。结论 LEEP在治疗CIN中具有非常重要的诊断和治疗价值,且手术操作过程简单易行,患者痛苦小,出血少,并能够保留患者的生育能力。
Objective To investigate the therapeutic value of high frequency electrosurgical knife (LEEP) in cervical intraepithelial neoplasia (CIN). Methods A total of 1216 cases of colposcopy in our hospital colposcopy biopsy and LEEP after treatment of pathological results of clinical analysis. The results of LEEP postoperative pathological results prevalence, and colposcopy biopsy diagnosis of coincidence rate, of which CIN Ⅰ coincidence rate was 90.74%, CIN Ⅱ coincidence rate was 71.22%, CIN Ⅲ coincidence rate was 77.89%. LEEP postoperative findings in situ 18 cases of cancer, early invasive carcinoma in 15 cases. Follow-up so far 17 cases of recurrence. Conclusion LEEP has a very important diagnostic and therapeutic value in the treatment of CIN. The operation procedure of LEEP is simple and easy. The patient has less pain, less bleeding and can keep the patient’s fertility.