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目的:探讨宫颈环形电切除术(LEEP)在宫颈上皮内瘤变(CIN)的诊断及治疗中的应用价值。方法:对2010年1月—2011年6月在我院妇科门诊就诊的81例应用LEEP术诊治的CIN患者的临床资料进行回顾,并对比分析阴道镜下活检病理结果与LEEP术后病理结果,同时观察手术时间、术中出血量及术后疗效。结果:81例患者行LEEP术前、术后病理诊断级别相符64例,符合率为75.6%,升高5例(6%),降低12例(19.4%),手术时间为(5.2±1.4)min,术中出血量为(8.3±3.6)mL。结论:LEEP术不仅有疗效好,操作简单、安全、术后并发症少,可提供完整的病理标本的优点,且能够提高宫颈癌的早期诊断率及降低宫颈早期浸润癌的漏访率,是诊断及治疗CIN病变的一种非常有价值的方法。
Objective: To investigate the value of cervical ring electrosurgical excision (LEEP) in the diagnosis and treatment of cervical intraepithelial neoplasia (CIN). Methods: The clinical data of 81 cases of CIN patients diagnosed and treated by LEEP from January 2010 to June 2011 in our gynecology clinic were retrospectively reviewed. The biopsy results of colposcopy and pathological results of LEEP were analyzed. At the same time observe the operation time, blood loss and postoperative efficacy. Results: The pathological diagnosis of 81 patients before and after LEEP coincided with 64 cases, with a coincidence rate of 75.6%, an increase of 5 cases (6%), a decrease of 12 cases (19.4%) and a mean operative time of (5.2 ± 1.4) min, intraoperative blood loss was (8.3 ± 3.6) mL. Conclusion: LEEP is not only effective, simple, safe, less postoperative complications, can provide the advantages of complete pathological specimens, and can improve the early diagnosis of cervical cancer and reduce the rate of early invasive carcinoma of the cervix leakage rate is Diagnosis and treatment of CIN lesions is a very valuable method.