宫颈环形电切术治疗宫颈上皮内瘤样病变的临床观察

Clinical observation of loop electrosurgical excision procedure for the treatment of cervical intraepithelial neoplasia

目的探讨宫颈环形电切术（LEEP）治疗宫颈上皮内瘤样病变（CIN）的临床效果。方法回顾性分析近2年来我院应用LEEP诊治67例CIN患者的临床资料。结果本组65例患者术后3—7d宫颈创面逐渐脱痂，第10d有少量出血，20d后阴道排液逐渐减少，1个月创面愈合95％。术后病理结果：23例CINⅡ级患者中1例上升为CINⅢ级，25例CINⅢ级患者中1例为原位癌，原位癌6例中1例为浸润癌。术后对所有患者进行随访，时间至少6个月，术后患者创面愈合好，阴道排液量减少，月经周期、经期无改变。结论LEEP具有操作简单、出血少、时间短、术后恢复快的特点，在CIN临床诊断和治疗上具有重要的使用价值。

Objective To explore the clinical observation of loop electrosurgical excision procedure for （LEEP） the treatment of cervical intraepithelial neoplasia（CIN）. Methods The clinical data were analyzed retro-spectively. 67 patients recieved LEEP and CIN for diagnosis and therapy. Results The cervical wound in 65 cases of patients scabbed off gradually 3 - 7 days after surgery and article 10 d a small amount of bleeding occurred on the 10th day. After 20 days vaginal discharge gradually decreased, 1-month wound healing rate was 95%. results of pathology showed that 1 of 23 cases of CIN Ⅱ raised CIN Ⅲ. One of 25 cases of CIN Ⅲ proved to be carcinoma in situ in. One of 6 cases of carcinoma in situ case proved to be invasive carcinoma. Conclusion LEEP is a simple operation with little bleeding and quick postoperative recovery, showing an important value for the clinical diagnosis and treatment of CIN.