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目的:探讨TCT(新柏氏液基细胞学)、LEEP环切电刀(高频电波刀)球形电极电熨术、环形电极电切术在治疗宫颈疾病中的应用。方法:对经妇科检查、TCT检查、阴道镜检查初步诊断为不同类型宫颈疾病的门诊患者264例采用LEEP手术治疗,切除病变组织或行宫颈锥切手术,标本均送病理学检查。结果:TCT检查与术后病理学诊断符合率99.39%,LEEP环切电刀手术治疗宫颈疾病1次成功率96.95%,手术时间5~20 min,平均10 min,出血量15~30 ml,术中无大出血病例,术后无感染病例。结论:TCT检查对宫颈癌前期病变的诊断具有极高的临床意义;LEEP治疗各类宫颈疾病,操作简单、损伤小、手术时间短、出血少、治疗效果好、可提供完整的病理标本,对慢性宫颈炎的治疗具有极高的临床意义。
OBJECTIVE: To investigate the application of TCT (neo-Parker liquid-based cytology), LEEP ring electric knife (high frequency electric wave knife) spherical electrode iron ironing and ring electrode electrosurgical excision in the treatment of cervical diseases. Methods: Two hundred and sixty-four outpatients with different types of cervical diseases diagnosed initially by gynecological examination, TCT examination and colposcopy were treated with LEEP, resected lesions or conization of the cervix. The specimens were sent for pathological examination. Results: The coincidence rate of TCT examination and postoperative pathological diagnosis was 99.39%. The success rate of LEEP circumcision knife in treating cervical disease was 96.95%. The operation time was 5 to 20 minutes with an average of 10 minutes. The bleeding volume was 15 to 30 ml. No major bleeding cases, no cases of postoperative infection. Conclusions: TCT has a high clinical significance for the diagnosis of cervical precancerous lesions. LEEP can treat all kinds of cervical diseases with simple operation, less damage, shorter operation time, less bleeding and good curative effect. It can provide complete pathological specimens, Chronic cervicitis treatment has a very high clinical significance.