阴道镜活检联用LEEP术诊治宫颈病变疗效分析

Analysis on Efficacy of Vaginoscopy and Biopsy Combined with LEEP in Diagnosis and Treatment of Cervical Lesions

目的探讨阴道镜活检联用高频电波刀宫颈电环切除术(LEEP术)诊治宫颈病变的临床价值和患者临床效果。方法对483例宫颈病变患者均行阴道镜下多点活检及LEEP术治疗,并做病理诊断。同时观察术中、术后情况及疗效。结果 LEEP术平均时间6min,术中出血量少。术后2个月复查,宫颈息肉和宫颈上皮内瘤变(CIN)一次手术成功率为97.5%,且二次手术都能治愈,并发症少。阴道镜下活检和LEEP术标本的病理诊断比较,差异有统计学意义(P<0.05)。结论阴道镜活检联用LEEP术可提高宫颈病变的病理诊断准确性,是诊治宫颈病变的有效手段,具有较高的临床价值。

Objective To evaluate the effect and clinical value of vaginoscopy and biopsy combined with Loop Electrosurgical Excision Procedure（LEEP） in diagnosis and treatment of cervical lesions.Methods 483 patients with cervical lesions underwent vaginoscopy and biopsy combined with LEEP,the specimens after operation were sent for pathological diagnosis.The intraoperative and post operation effect,clinical efficacy was observed.Results The average operation time was 6 minutes,few blood loss.After 2 months,the initial operative success rates of cervical polyp and CIN were 97.5%,none failed ultimately with less complication.There was significantly difference between biopsy specimens under vaginoscopy and LEEP specimens（P0.05）.Conclusion Vaginoscopy and biopsy combined with LEEP improves the accuracy of pathologic diagnosis,which is effective in diagnosis and treatment of cervical lesions,with high clinical application value.