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目的:探讨阴道镜活检联合宫颈环形电切术(LEEP术)诊治宫颈病变的疗效。方法:对354例宫颈病变患者在阴道镜下多点活检后行LEEP术治疗,并做病理组织学诊断,观察患者的手术时间、术中出血量及治疗效果,比较两种方法取材的病理组织学诊断结果。结果:LEEP术的平均手术时间长约6.76.7±3.5 min,术中出血量<20 mL。2个月后患者复查,成功率为93.8%(332/354例),经二次手术全部治愈,并发症少。从病理组织学诊断结果来看,与LEEP术相比,阴道镜下活检的炎症检出率高,宫颈上皮内瘤变的检出率低,但差异均无显著统计学意义(P>0.05)。结论:根据阴道镜活检结果,针对性使用LEEP术,密切随访,是诊治宫颈病变的有效方法。
Objective: To investigate the effect of colposcopy biopsy combined with cervical ring electrosurgical excision (LEEP) in the diagnosis and treatment of cervical lesions. Methods: 354 cases of cervical lesions in colposcopy multi-point biopsy after LEEP surgery, and histopathological diagnosis, observation of the patient’s operation time, blood loss and treatment effect, comparing the two methods of pathological tissue Learn diagnosis results. Results: The average operative time of LEEP was 6.76.7 ± 3.5 min and the blood loss was less than 20 mL. After 2 months, the patients were reviewed. The success rate was 93.8% (332/354 cases). All the patients were cured by secondary surgery with few complications. From the pathological diagnosis results, compared with LEEP surgery, colposcopy biopsy high detection rate of inflammation, cervical intraepithelial neoplasia detection rate is low, but the difference was not statistically significant (P> 0.05) . Conclusion: According to colposcopy biopsy results, targeted use of LEEP surgery, close follow-up, is an effective diagnosis and treatment of cervical lesions.