摘要
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.
出处
《中国当代医药》
2010年第19期51-52,共2页
China Modern Medicine
关键词
宫颈环形电切术
宫颈上皮内瘤样病变
治疗效果
Cervical loop electrosurgical excision procedure
Cervical intraepithelial lesion
Treatment