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目的探讨宫颈电环切术(LEEP)在宫颈上皮内瘤变(CIN)中的治疗价值。方法对103例CIN患者在阴道镜辅助下行LEEP治疗并做病理检查,术后随访。结果 103例均顺利完成手术,无发生意外;89例(86.4%)与术前阴道镜病理结果一致,诊断降级5例(5.0%),升级9例(8.0%),经随访,仅1例复发,再次行LEEP治疗后无复发。结论LEEP用于治疗CIN,操作简便、并发症少、疗效满意,是目前治疗CIN较理想的方法,但需注意术后随访复查。
Objective To investigate the therapeutic value of cervical electrocorticotomy (LEEP) in cervical intraepithelial neoplasia (CIN). Methods 103 patients with CIN under colposcopy-assisted LEEP treatment and pathological examination, follow-up. Results All the 103 cases were successfully performed without any accident. 89 cases (86.4%) were consistent with preoperative colposcopy. Five cases (5.0%) were diagnosed as degenerative and 9 cases (8.0%) were upgraded. One case was followed up Recurrence, relapse after LEEP treatment without recurrence. Conclusions For the treatment of CIN, LEEP has the advantages of simple operation, few complications and satisfactory curative effect. It is an ideal method for the treatment of CIN at present. However, it is necessary to pay attention to the follow-up after operation.