高频电刀诊断性环切治疗宫颈疾病的临床研究

HF Diagnostic Circumcision Knife Treatment of Cervical Disease Clinical Research

目的：探讨高频电刀（Leep）对宫颈疾病行诊断性环切术在临床上的诊断与治疗价值。方法：对323例因宫颈疾病而行诊断性环切的患者作回顾性分析，同时分析术前细胞学及阴道镜下活检的诊断结果，观察评价Leep的诊断与治疗效果。结果：323例各种宫颈疾病中，术前诊断CINI～Ⅱ级29例（9．0％），术后诊断CINⅢ级1例，CIN不存在11例；术前诊断慢性宫颈炎268例（83．0％），（包括宫颈Ⅱ～Ⅲ度乳头样糜烂，肥大伴腺囊肿、宫颈、颈管息肉、宫颈增生），术后诊断CINⅠ级7例，CINⅡ级2例；术前诊断宫颈新生物19例（5．9％）；颈管无蒂肌瘤9例（2．8％）；术后病理无变化。术后并发症以脱痂期出血为主，随访中无复发。结论：Leep对宫颈疾病具有诊断与治疗的双重作用，能完整清除病灶，并提供完整的无炭化的组织标本，并对宫颈进行理想的整形与美容，且操作简单，并发症少．恢复快。目前．Leep在宫颈疾病和CIN的诊断与治疗中具有重要的地位。

Objective：To explore endotherm knife （Leep） for cervical disease in the diagnostic circumcision on the diagnosis and treatment of clinical value. Method： 323 cases of cervical disease as a result of the diagnostic circumcision of a retrospective analysis of patients, while the former cytology analysis technique, and colposcoplcally directed biopsy diagnosis, evaluation leep observe the diagnosis and treatment resuits. Result： 323 cases of cervical disease, the technique before diagnosis CIN Ⅰ - Ⅱ class 29 cases （9. 0% ） , the diagnostic CIN Ⅲ class 1 cases, 11 cases did not exist CIN. People diagnosed chronic cervicitis 268 cases before （ 83.0% ） （ including cervical Ⅱ - Ⅲ nipple kind distant, loose coupled gland cyst, cervical, neck and polyp, cervical hyperplasia） , the class began seven cases diagnosed CIN Ⅰ, CIN Ⅱ category 2 cases; People living 19 cases before new diagnostic cervical （5.9%） ; Neck tumors nine cases of non - Tijuana （2.8%） ; After pathological change. After complications with a bleeding scab on delinking, no follow - up recurrence. Conclusion： Leep diagnosis and treatment of cervical disease have dual roles to complete the removal of focus, And complete tissue samples without charring, and a cervical ideal orthopaedic and beauty. And simple to operate, fewer complications, faster recovery. Currently, Leep in cervical disease and the diagnosis and treatment of CIN has an important place.