宫颈电刀锥切术和阴道镜下宫颈多点活组织检查在诊治宫颈上皮内瘤变及早期宫颈癌中的价值分析

Values of loop electrosurgical excision procedure and colposcopy-directed cervical biopsy in the diagnosis and treatment of CNI and early cervical cancer

目的进一步评价阴道镜下活检和宫颈锥切术在诊治宫颈上皮内瘤变（CIN）和早期宫颈癌中的疗效和应用价值。方法对96例阴道镜下活检诊断为GIN的患者行LEEP术，对比术前、术后的病理结果。结果两种检查结果对比，相符有70例，降级17例，升级9例；随访1年治愈率达90．63％。结论宫颈活检对CIN的诊治有局限性，综合考虑，适时应行宫颈锥切术，兼具补充诊断和治疗作用。

Objective To further assess the values of colposcopy-directed cervical biopsy and loop electrosurgical excision procedurec （ LEEP ） in the diagnosis and treatment of cervical intraepithelial neoplasia （ CIN ） and early cerical cancer. Methods LEEP was performed on 96 patients diagnosed as CIN by colposcopy-directed cervical biopsy. The pathological findings from the biopsy samples were compared with those from the LEEP samples. Results The pathological findings from the two different samples were coincided in 70 patients; and the pathological classification was upgraded in 17 patients while downgraded in 9.90.63% of the patients were cured in a 1-year follow-up. Conclusions Colposcopy-directed cervical biopsy has its owns limitations in the diagnosis of cervical intraepithelial neoplasia. Proper LEEP plays a role in the further diagnosis and treatment of the disorder.