LEEP在宫颈上皮内瘤样病变治疗中的效果研究

LEEP in cervical intraepithelial lesions and effect of treatment

目的:探讨宫颈环形电切术(LEEP)对宫颈上皮内瘤样病变的治疗效果。方法:采用LEEP术进行治疗宫颈上皮内瘤样病变(CIN)98例,将治疗前后的病理结果进行对比,记录术中情况及术后随访结果。结果:阴道镜活检病理结果与LEEP术后病理结果相符者61例,占62.3%,术后病理降级者22例,占22.4%,升级者15例,占15.3%。两组比较差异有统计学意义(P<0.01)。平均手术时间为6.7min,常见的术后不良反应有阴道少量血性分泌物、阴道流血、月经期提前、低热。结论:LEEP手术时间短,术中出血量少,操作简便,对病理诊断无影响,治疗CIN效果良好,应注意手术操作手法,减少并发症的发生。

Objective：To investigate the cervical loop electrosurgical excision procedure（LEEP） for cervical intraepithelial lesions treatment.Methods：LEEP procedure for treatment of cervical intraepithelial lesions（CIN） 98 patients before and after the treatment of pathological results were compared,intraoperative conditions and postoperative follow-up results.Results：Colposcopy and LEEP biopsy results consistent with pathological findings in 61 cases,accounting for 62.3%,pathological downgrading in 22 cases,accounting for 22.4%,upgrade 15 cases,accounting for 15.3%.The two groups had significant difference（P 0.01） .The mean operative time 6.7 min,after the common adverse reactions were,a small amount of bloody vaginal discharge,vaginal bleeding,menstrual period early,low heat.Conclusion：LEEP surgery a short time,less blood loss,easy operation,no effect on the pathological diagnosis,treatment CIN good effect,should be noted that operative techniques to reduce complications.