宫颈环形电刀切除术治疗宫颈糜烂的临床观察

Cervical Loop Electrosurgical Excision Procedure(LEEP) in the Treatment of Cervical Erosion(Clinical Observation)

目的：探讨宫颈环形电刀（LEEP）切除术治疗宫颈糜烂的临床效果。方法：将我院2006年1月-2008年3月收治的Ⅱ°宫颈糜烂以上的348例随机分为LEEP组与对照组。LEEP组187例行LEEP术治疗,对照组161例行微波治疗,两组均于术后4、8、12周复查,观察宫颈创面愈合情况并进行对照研究。结果：术后12周内创面全部愈合为一次性治愈。LEEP组12周内痊愈179例,治愈率95.72%;187例均有效,有效率100%。对照组12周内痊愈144例,治愈率89.4%;有效153例,有效率95.0%,两组比较差异有统计学意义（P〈0.01）。结论：LEEP是治疗宫颈糜烂较好的方法,治疗效果明显优于微波治疗。

Objective ：To study the value of loop electrosurgical excision procedure（LEEP） in treating cervical erosion. Methods ：345 patients with cervical erosion Ⅱ° admitted in our hospital during January 2006-March 2008 were randomly divided into observation and control groups. 187 patients in LEEP group underwent Leep procedure,while 161 of control group underwent microwave procedure. Both groups were given reexamination 4,8, and 12 weeks after operation. Recovery of cervix surface was closly observed. Results：12 weeks after operation, the surface recovered once and for all. 179 patients in LEEP group were cured in 12 weeks with a cure rate of 95.71% and 187 patients improved with an effective rate of 100% ; while in the control group, 144 were cured with a cure rate of 89.45 and 153 improved with an effective rate of 95.0% , showing statistical difference（P 〈 0. 01 ）. Conclusion：LEEP treatment of cervical erosion is better than microwave treatment.