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目的观察宫颈电环切除术(LEEP)治疗宫颈上皮内瘤样病变(CIN)的临床疗效。方法对46例CIN患者采用LEEP进行治疗,对其临床疗效作回顾性分析。结果平均手术时间5.5min,平均术中出血量6.8ml,无术后感染及宫颈管狭窄,术前术后病理诊断一致者35例,占76.1%,级别下降9例,占19.6%,病理升级者为2例,其中1例术后病理证实为颈管浸润癌,45例患者手术切缘均无CIN病变,LEEP治疗CIN成功率为97.8%(45/46),治愈率为97.8%(44/45),未生育6例术后妊娠7例次。结论 LEEP是治疗CIN安全有效的方法,简单易行,并发症少,能保留生育功能,值得临床推广应用。
Objective To observe the clinical efficacy of cervical electrocorticoid excision (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN). Methods Forty - six patients with CIN were treated with LEEP, and their clinical effects were retrospectively analyzed. Results The average operation time was 5.5 min and the average blood loss was 6.8 ml. No postoperative infection and cervical stenosis were found. 35 cases (76.1%) had pathological diagnosis before operation, 9 cases (19.6%) had pathological changes (2 cases), of which 1 case was pathologically confirmed to be invasive ductal carcinoma of the neck, and 45 cases had no CIN lesions. The success rate of CEP with LEEP was 97.8% (45/46) and the cure rate was 97.8% (44) / 45), not 6 cases of postoperative pregnancy in 7 cases. Conclusions LEEP is a safe and effective method for the treatment of CIN. It is simple and easy to be implemented with less complications and can retain the function of childbearing. It is worthy of clinical application.