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【目的】探讨高频电刀(LEEP)的治疗宫颈上皮内瘤变(CIN)中的应用及护理方法。【方法】回顾性分析2003年6月—2004年9月,我院运用高频电刀治疗CIN患者271例,总结其疗效及护理要点。【结果】271例患者经LEEP治疗,259例(95.57%)治愈,7例(2.58%)有CIN病变残留。在146例随访超过1年的患者中,4例(2.74%)CIN病变复发。LEEP术前活检与术后病理标本间102例(37.64%)存在显著性差异(P<0.05),其中93例(34.32%)为病变降级。254例(93.73%)患者表示对CIN及LEEP术不了解,存在紧张焦虑心理。21例(7.75%)患者出现术后宫颈创面渗血过多,29例(10.70%)出现宫颈腺上皮增生。【结论】LEEP术治疗CIN,操作简单、安全,手术并发症少,治愈率高。术前健康教育利于消除患者紧张心理,积极配合手术。术前阴道准备,术后卫生指导及宫颈创面护理对促进创面愈合,减少手术并发症有重要意义。
【Objective】 To explore the application and nursing methods of high frequency electric knife (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN). [Methods] Retrospective analysis of 271 cases of CIN patients treated with electrosurgical electrosurgery in our hospital from June 2003 to September 2004, and summarized the efficacy and nursing points. [Results] Of the 271 patients treated with LEEP, 259 (95.57%) were cured and 7 (2.58%) had residual CIN lesions. Of the 146 patients who were followed up for more than one year, 4 (2.74%) had recurrent CIN lesions. There was a significant difference between LEEP preoperative biopsy and postoperative pathological specimens in 102 cases (37.64%) (P<0.05), of which 93 cases (34.32%) were lesions degraded. 254 patients (93.73%) reported that they did not understand CIN and LEEP and had anxiety and anxiety. Twenty-one patients (7.75%) had excessive postoperative uterine bleeding and 29 cases (10.70%) had cervical glandular epithelial hyperplasia. [Conclusions] LEEP is a simple and safe procedure for the treatment of CIN. The operative complications are few and the cure rate is high. Preoperative health education helps eliminate stress and actively cooperates with surgery. Preoperative vaginal preparation, postoperative health guidance and cervical wound care are important for promoting wound healing and reducing surgical complications.