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目的:探讨使用高频电波刀作宫颈环形电切术切除宫颈上皮内瘤样病变(CIN)的临床价值。方法:阴道镜下活检病理诊断为CIN82例,行LEEP宫颈环形电切术,术后2个月及9个月行阴道镜复查并作细胞学追踪。结果:手术时间为4～12.5min,无宫颈口粘连,均正常月经来潮,经量基本正常。术后2个月及9个月行阴道镜复查并作细胞学追踪无一例复发。结论:只要对CIN病变切除的范围够大、够深、够彻底,就不会出现CIN的残留和复发。LEEP行宫颈环行电切除是治疗CIN有效手段。
OBJECTIVE: To investigate the clinical value of electrosurgical resection of cervical intraepithelial neoplasia (CIN) using a high frequency electric wave knife. Methods: Colposcopic biopsy pathology diagnosis of 82 cases of CIN, LEEP cervical ring electrotomy, postoperative 2 months and 9 months colposcopy review and cytology tracking. Results: The operation time was 4～12.5min. There was no cervix adhesion. The menses were normal and the menstrual flow was normal. There was no recurrence of colposcopy and cytological follow-up at 2 months and 9 months after surgery. Conclusion: As long as the extent of resection of CIN lesions is large enough, deep enough, and thorough enough, CIN residue and recurrence will not occur. LEEP is an effective method for the treatment of CIN.