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目的探讨高频电波刀(LEEP)治疗宫颈上皮内瘤变(CIN)的临床疗效,为今后选择CIN最佳术式提供临床资料。方法对43例确诊宫颈上皮内瘤变患者使用LEEP治疗,并观察手术时间、术中出血量、并发症、标本病理检查结果、随访术后恢复情况及预后。结果LEEP治疗宫颈上皮内瘤变平均手术时间7.5 min,平均出血量10 ml,术后并发症少,患者均无疼痛,痂膜脱落时出血少,病理检查结果准确,治愈率97.9%。结论LEEP对宫颈上皮内瘤变是一种理想的诊断治疗手段,具有手术时间短,出血量少,并发症少,病理检查结果准确,术后随访复发少、预后佳的特点。
Objective To investigate the clinical effect of high frequency electrosurgical knife (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN) and to provide clinical data for the best CIN in the future. Methods Forty - three patients with diagnosed cervical intraepithelial neoplasia were treated with LEEP. The operation time, blood loss, complications, pathological examination results, postoperative recovery and prognosis were observed. Results The average operation time of LEEP in treatment of cervical intraepithelial neoplasia was 7.5 min and the average bleeding volume was 10 ml. No postoperative complications were found. No pain was found in the patients. There was less bleeding when the scrape film was removed and the pathological results were accurate. The cure rate was 97.9%. Conclusion LEEP is an ideal diagnostic and therapeutic method for cervical intraepithelial neoplasia. It has the characteristics of short operative time, less bleeding, fewer complications, accurate pathological findings, less recurrence after follow-up, and good prognosis.