环形电刀切除蒂部宽大的宫颈良性赘生物28例

Loop Electrosurgical Excision Procedure in Treatment for 28 Cases with Benign Cervical Wide Basal Neoplasm

[目的]探讨环形电刀切除术(LEEP)在蒂部宽大(基底最大径线≥1cm)的宫颈良性赘生物中的应用。[方法]2005年1月至2006年7月间,应用LEEP诊治蒂部宽大(基底最大径线≥1cm)的宫颈良性赘生物28例,于术后半个月、1个月、2个月、6个月复诊,观察疗效。[结果]手术时间平均6.8min,术中平均出血量4.7ml,术后病理:宫颈息肉11例(39.3%),宫颈尖锐湿疣8例(28.6%),宫颈纳氏腺囊肿6例(21.4%),宫颈肌瘤2例(7.1%),宫颈腺肌瘤1例(3.6%)。术后阴道流液平均持续8.4d。术后1个月、2个月、6个月复诊时宫颈恢复原形、无赘生物的病例数分别是18例(64.3%)、24例(85.7%)、27例(96.4%)。[结论]LEEP诊治蒂部宽大的宫颈良性赘生物,操作简单,出血少,术后不发生宫颈狭窄。

[Purpose] To investigate the application of loop electrosurgical excision procedure （LEEP） in treatment for benign cervical wide basal neoplasm （the maximum base ≥1cm）. [Method] LEEP was carried out for 28 cases with benign wide basal neoplasm from Jan. 2005 to Jul. 2006. The effect was observed on the half mo, 1 mo, 2 mo and 6 mo respectively following LEEP. [Result] The average operation time was 6.8 min. The average volume of operative bleeding was 4.7ml. There were cervical polyp in 11 cases （39.3%）; cervical condylomata acuminata in 8 cases（28.6%）; Naboth＇s cyst in 6 cases（21.4%）; uterine myoma in 2 cases（7.1%）, and uterine adenomyoma in 1 case（3.6%） pathologically. Vaginal discharge persisted for 4.8 days following LEEP. The patients were followed-up at 1, 2 and 6 mo and the cervix was returned to original appearance in 18 cases （64.3%）, 24 cases （85.7%）, 27 cases （96.4%） respectively. [Conclusion] LEEP for the treatment of benign cervical wide basal neoplasm reveals less bleeding, less cervical stenosis and easy manipulation.