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[目的]探讨宫颈上皮内瘤变(CIN)环形电切术(LEEP)术后病理级别升高及切缘阳性患者的再手术时机与方法。[方法]回顾性分析2006年12月至2008年12月282例CIN患者中,经LEEP术后再手术57例患者的临床资料,并将LEEP术后病理与再手术治疗后的病理结果进行比较分析。[结果]50例CINⅡ～Ⅲ者再手术后病理降级27例,无改变23例。LEEP术后切缘阳性和阴性者再次术后的宫颈残存病灶分别占68.09%(32/47)和20.00%(2/10)。[结论]LEEP术是CIN进一步诊断及治疗的有效手段,能提高宫颈病变诊断准确性。
[Objective] To investigate the timing and method of reoperation in patients with positive pathologic grade and positive margins after cervical intraepithelial neoplasia (CIN) ring electrosurgery (LEEP). [Methods] The clinical data of 57 patients who underwent LEEP after operation between 282 patients with CIN from December 2006 to December 2008 were retrospectively analyzed. The pathological results after LEEP and reoperation were compared analysis. [Results] Twenty-five cases of CINⅡ-Ⅲ were re-operated and their pathology was degraded in 27 cases with no change in 23 cases. Cervical remnant lesions accounted for 68.09% (32/47) and 20.00% (2/10), respectively, in patients with LEEP positive or negative margins. [Conclusion] LEEP is an effective method for further diagnosis and treatment of CIN, which can improve the diagnostic accuracy of cervical lesions.