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目的:探讨宫颈环形电切术(LEEP)治疗宫颈上皮內瘤的临床效果。方法:360例宫颈上皮内瘤变患者实施宫颈环形电切术,观察其治疗效果,并在术后3个月、术后6个月、术后1年、术后3年进行随访。结果:所有患者均成功实施宫颈环形电切术,术后3个月随访阴道镜复查宫颈表面,宫颈光滑为310例(86.1%);术后6个月随访宫颈检查正常为349例(96.9%);术后1年随访大部分患者宫颈情况正常,复发2例,复发率0.6%;术后3年随访360例患者无复发病例,无宫颈黏连合并感染等并发症。结论:宫颈环形电切术操作简单,容易操作,术后随访患者的复发率低,值得在临床中广泛应用。
Objective: To investigate the clinical effect of cervical ring electrosurgical excision (LEEP) in the treatment of cervical intraepithelial neoplasia. Methods: Three hundred and sixty patients with cervical intraepithelial neoplasia were treated by cervical ring electrosurgical excision. The therapeutic effect was observed. Three months after surgery, six months after surgery, one year after operation and three years after operation were followed up. Results: Cervical ring resection was successfully performed in all patients. The surface of the cervix was examined by colposcopy at 3 months after operation. The cervix was smooth (310 cases, 86.1%). The follow-up of 6 months postoperatively was 349 cases (96.9% ); 1 year follow-up Most patients with normal cervix, recurrence in 2 cases, the recurrence rate was 0.6%; 3-year follow-up of 360 patients with no recurrence, no complications such as cervical adhesions and infection. Conclusion: Cervical ring resection is simple and easy to operate. The recurrence rate after operation is low, which is worth to be widely used in clinic.