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目的探讨宫颈环形电切术(LEEP)治疗各种宫颈疾病的临床疗效。方法对妇科门诊常规检查初步诊断为各种宫颈疾病如慢性宫颈炎(宫颈糜烂、宫颈息肉、宫颈肥大、宫颈纳氏囊肿、宫颈湿疣等)、宫颈上皮内瘤样变(CINⅠ、CINⅡ、CINⅢ级)等的266例患者,采用环形电刀行宫颈环切术治疗,手术标本送病理检查,并观察手术时间、术中出血量、患者反应、病理检查及术后随访情况。结果 LEEP治疗宫颈疾病成功266例(100%),手术时间(10±4)min,出血量(10.0±2.5)ml,仅12例(4.51%)患者出现下腹隐痛、阴道烧灼感;病理检查术前、术后符合率,慢性宫颈炎96.23%,宫颈上皮内瘤变CINⅠ～Ⅱ级100%,CINⅢ级90.00%,术后随访6个月均无复发情况,亦未出现术后感染、大出血及宫颈口粘连、宫颈口狭窄等并发症。结论 LEEP具有快速简便、并发症少、手术时间短、出血少、患者痛苦小等优点,在宫颈疾病治疗中安全有效,具有诊断及治疗双重疗效,是治疗宫颈病变较理想的方法,并且不需住院,大大减少了治疗费用,值得临床广泛推广应用。
Objective To investigate the clinical efficacy of cervical ring electrosurgical excision (LEEP) in the treatment of various cervical diseases. Methods The routine diagnosis of gynecological clinic was preliminarily diagnosed as cervical diseases such as chronic cervicitis (cervical erosion, cervical polyps, cervical hypertrophy, cervical necystosis, cervical condyloma), cervical intraepithelial neoplasia (CINⅠ, CINⅡ, CINⅢ ), 266 patients were treated with ring electrosurgical excision. Surgical specimens were sent for pathological examination. The operation time, intraoperative blood loss, patient response, pathological examination and follow-up were observed. Results The success rate of LEEP in treating cervical diseases was 266 cases (100%). The operation time (10 ± 4) min and the amount of bleeding (10.0 ± 2.5) ml, only 12 cases (4.51%) had lower abdominal pain and vaginal burning sensation. 96.23% of patients with chronic cervicitis and 100% of patients with CINⅠ-Ⅱ and 90.00% of patients with CINⅢ had no recurrence after 6 months follow-up and postoperative follow-up. No postoperative infection, massive bleeding, Cervical adhesions, cervical stenosis and other complications. Conclusions LEEP has the advantages of quick and easy operation, less complications, shorter operation time, less bleeding, less pain and so on. It is safe and effective in the treatment of cervical disease and has the double curative effect of diagnosis and treatment. It is an ideal method to treat cervical lesion, Hospitalization, greatly reducing the cost of treatment, it is worth widely clinical application.