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目的观察子宫颈环形电切术(LEEP)对宫颈上皮内瘤变(CIN)的治疗效果,为今后选择CIN最佳术式提供临床资料。方法对20例行LEEP的CIN患者的手术时间、术中出血量、术后疼痛程度、术后恢复情况及预后等几个方面进行全面观察和记录。结果手术时间:2～5min者10例,6～10min者6例,11～15min者2例,15～30min者1例,大于30min者1例,手术出血量小于5ml者9例,5～10ml者8例,11～15ml者1例,16～20ml者1例,大于20ml者1例,术后疼痛0级5例,I级13例,II级1例,III级1例,LEEP术后病变残留者0例,治愈者19例,病变持续存在者0例,复发者1例。结论LEEP治疗CIN具有出血量少、手术时间短、术后疼痛轻微、术后病理检查复发少、预后佳的特点。LEEP治疗CIN费用低、快速安全、操作容易、疗效好、复发率低,有极大的临床应用价值,值得推广。
Objective To observe the effect of cervical epiglottic electroresection (LEEP) on cervical intraepithelial neoplasia (CIN) and provide clinical data for choosing the best surgical procedure for CIN in the future. Methods The operative time, blood loss, postoperative pain, postoperative recovery and prognosis of 20 CIN patients undergoing LEEP were comprehensively observed and recorded. RESULTS: Operative time: 2 to 5 minutes in 10 cases, 6 to 10 minutes in 6 cases, 11 to 15 minutes in 2 cases, 15 to 30 minutes in 1 case, more than 30 minutes in 1 case, 9 cases of blood loss less than 5 ml, 5 to 10 ml Among 8 patients, 11 to 15 ml were 1 patient, 16 to 20 ml were 1 patient, and 20 ml was more than 1 patient. Postoperative pain was 0 in 5 patients, I in 13 patients, II in 1 patient, and III in 1 patient. After LEEP There were 0 cases of residual disease, 19 cases of heal, 0 cases of persistent disease, and 1 case of recurrence. Conclusions LEEP has the characteristics of less bleeding, shorter operative time, less postoperative pain, less recurrence after pathological examination, and good prognosis. LEEP treatment of CIN is low in cost, fast and safe, easy to operate, effective, and low in recurrence rate. It has great clinical application value and is worthy of promotion.