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目的:通过对不同类型的宫颈病变中阴道镜下活检病理结果与LEEP术后病理结果的比较,探讨LEEP治疗CIN的临床意义。方法:回顾性分析2003年5月～2005年12月在本院妇科因宫颈病变行阴道镜下多点活检,再行LEEP术的170例CINⅠ～CINⅢ患者的临床资料。结果:170例CINⅠ～CINⅢ患者,91例(53.52%)LEEP术后与阴道镜下结果相符,34例(20.00%)升级,其中4例原位癌,1例浸润癌,47例(27.60%)降级,剔除LEEP术后原位癌及浸润癌5例,治愈率97.05%。结论:LEEP术在宫颈病变治疗中具有重要意义,对CINⅠ～CINⅡ患者LEEP治疗最适宜,CINⅢ宜先行LEEP术,以避免早期宫颈癌的漏诊,消除治疗的隐患。
Objective: To investigate the clinical significance of LEEP in the treatment of CIN by comparing colposcopic colposcopy biopsy results with LEEP pathological findings in different types of cervical lesions. Methods: The clinical data of 170 patients with CINⅠ-CINⅢ who underwent colposcopy biopsy for gynecological cervical lesions in our hospital from May 2003 to December 2005 were analyzed retrospectively. Results: Of the 170 patients with CINⅠ-CINⅢ, 91 (53.52%) patients had colposcopy results after LEEP and 34 patients (20.00%) were escalated. Four of them were in situ carcinoma, one was invasive carcinoma and 47 (27.60% ) Relegated, excluding LEEP postoperative in situ carcinoma and invasive carcinoma in 5 cases, the cure rate was 97.05%. Conclusions: LEEP is of great significance in the treatment of cervical lesions. It is most suitable for the treatment of LEEP in patients with CINⅠ-CINⅡ. LEEP is the first choice of CINⅢ in order to avoid the missed diagnosis of early cervical cancer and eliminate the hidden dangers of treatment.