LEEP刀治疗宫颈上皮内瘤样病变90例临床分析

Clinical Observation of Treatment of in 90 Patients with Loop Electrosurgical Excisional Procedure

目的探讨LEEP刀宫颈环形电切术治疗宫颈上皮内瘤变(CIN)的临床疗效、并发症等。方法通过对2009～2010年行阴道镜下活检病理诊断为CIN的90例患者行LEEP刀宫颈环形电切术者随访并行回顾分析。切除组织全部送病理检查,观察手术时间、出血量及术后修复情况。结果宫颈环行电切除术首次治疗成功率为96.7%。平均手术时间为(6.5±1.0)min;平均出血量为(5.0±1.0)ml。阴道镜下活检病理诊断与最后诊断的符合率为82.2%(74/90),90例患者术后1年细胞学检查均转阴性(100%)。结论 LEEP刀宫颈环形电切术具有手术操作简单、并发症少、疗效高等特点,是一种理想的CIN诊治方法。

Objective To evaluate the effectiveness and complications of loop electrosurgical excisional procedurewith LEEP for the management of cervical intraepithelial neoplasia（CIN）. Methods Retrospective reviews were done to 90 CIN patients from 2009 to 2010 who were diagnosed bybiospy under the colposcope treated with loop electrosurgical excisional procedure with LEEP. All specimens after LEEP were sent for pathological diagnosis. The time of the operation, the amount of bleeding, the complication of the patients as well as the close follow up after treatmentwere all noted and recorded in delails. Results The rat of optimal firstoperations was 96.7%, Treatment was completed in （6.5 ± 1.0） minmean time. Average amount of bleeding was （5.0 ± 1.0） ml. Of 90 CIN cases, 74 （ 82.2% ） samples were accorded with pathological biopsy. Ctologi-cal examination of 90 CIN cases had turned to negative in 1 year postoperatively. Conclusion Loop electrosurgical excisional procedure with LEEP is more simply operated and has fewer complications and best curative effect. It has been an ideal therapy to cure CIN.