宫颈电环切术治疗宫颈上皮内瘤样变临床效果评价

Clinical effect evaluation on loop electrosurgical excision for treatment of cervical intraepithelial neoplasia

目的探讨宫颈电环切术治疗宫颈上皮内瘤样变（CIN）临床效果。方法回顾性分析CIN患者86例病历资料及随访结果，分析手术及术后情况、疗效、随访结果及术前、术后病理检查情况前比较。结果该组手术时间5～25min，平均（10．5±3．5）min；出血量为4～50ml，平均（12．4±8．6）ml，其中CINⅢ出血量最多平均（45．2±4．2）ml；术前、术后病理学检查差异无统计学意义（P〉0．05）；术后6个月复查，86例患者中84例治愈，细胞学检查正常，2例术后检查无CIN，6个月后复查复发，治愈率为96．51％；术后1周后均有不同程度渗液出现，10d左右脱痂，且有少量出血，术后5例出血量大，约60—70rrIl，行局部电凝止血后止血，3个月复查，所有患者宫颈表面恢复正常，且光滑圆润，6个月随访2例复发，为CINⅡ级，12个月随访未见新增复发病例。结论宫颈电环切术治疗宫颈上皮内瘤样变优点众多，术后患者恢复较快，值得临床广泛推广。

Objective To investigate the cervical loop electrosurgical excision procedure for treatment of cervical intraepithelial neoplasia clinical effect. Methods 86 CIN patients medical records and follow-up results were retrospectively analyze. Operation and postoperative condition, observation, follow-up results and preoperative, postoperative pathological examination were arelyzed. Results The operation time of 5 - 25min, an average of （ 10.5 ± 3.5 ） rain ; bleeding volume was 4 ± 50ml, average （ 12.4 ± 8.6 ） ml, CIN Ⅲ maximum amount of bleeding was （45.2 ± 4.2） ml; preoperative, postoperative pathological examination showed no significant difference, no statistical significance （ P 〉 O. 05 ） ; postoperative reviewed in June, 86patients were cured in 84 cases, cytology of normal, 2 eases of postoperative examination without CIN, June queen recheck recurrence, the cure rate was 96.51% ;after 1 weeks postoperatively in varying degrees of infiltration liquid, about 10d decrustation, and a small amount of bleeding,5 cases of postoperative hemorrhage, more 60 ~ 70ml, the local electric coagulation hemostasis after hemostasis, thrse months later review, all patients showed normal cervix, and smooth,6 months follow-up of 2cases of recurrence, CIN Ⅱ , 12 months follow-up showed no recurrence case new. Conclusion The cervical loop electrosurgical excision procedure was many advantages in treatment of cervical intraepithelial neoplasia, such as postoperative patients recover faster, worthy of clinical application.