环形电刀切除术治疗宫颈疾病98例临床观察

Clinical Observation of 98 Cases with Cervical Lesions Operated by LEEP

目的探讨环形电刀切除术(LEEP)治疗宫颈疾病的临床价值。方法对98例宫颈疾病,其中包括经TCT(薄层液基细胞学)、阴道镜检查及镜下活检诊断为宫颈上皮内瘤样病变(CIN)31例,采用LEEP治疗,切除组织送病理检查。观察手术时间、出血量、患者反应及术后修复情况。结果LEEP治疗宫颈疾病成功率为94.4%。平均手术时间为7.1 min,出血量10.3 mL,无继发感染发生。结论LEEP治疗宫颈病变操作简单、安全、成功率高,尤其适用于CIN。

Objective To evaluate the value of LEEP for the treatment of patients with cervical lesions including cervical intraepithelial neoplasia （CIN）. Methods 98 patients with cervical lesions including CIN Ⅰ - Ⅱ were diagnosed after TCT, eoposeopy and biopsy and operated by LEEP. All the specimens after LEEP were sent for pathological diagnosis. The time of the operation, the amount of bleeding, the complains of the patients as well as the close follow-up after treatment were all noted and recorded in details. Results The rate of optimal operations was 94.4%, Treatment was completed in 7.1 minutes mean time. Average amount of bleeding was 10.3 mL. No secondary infections were found. Conclusion LEEP is a simple and safe method for CIN treatment.