环形电切术治疗宫颈病变223例临床分析

Clinical analysis on the loop electrosurgical excision procedure in the treatment of 131 patients with cervical lesions

目的探讨环形电切术（LEEP）在宫颈病变的诊断及治疗中的临床价值。方法回顾性分析2010年1~12月我院用高频电波刀行环行电切除术的223例宫颈病变患者的临床资料。结果时间平均手术（5.38±1.38）min,平均术中出血量（6.02±3.24）mL,术后阴道流血量〉40 mL 17例,术前阴道镜下点活检病理诊断与环形电切术后病理诊断完全符合216例,降级1例,升级6例。结论环形电切术治疗宫颈病变有手术时间短、术中出血少、可提供完整的病理标本等优势,值得在临床广泛使用。

Objective To explore the clinical value of loop electrosurgical excision procedure（LEEP） in the diagnosis and treatment of cervical lesions.Methods The clinical datas of 223 cases with cervical lesions in our hospital from January 2010 to December 2010 treated with loop electrosurgical excision procedure were analyzed.Results The average operating time was（5.38±1.38） min.The average amount of bleeding in surgery was（6.02±3.24） mL.17 patients treated with LEEP bleed more than 40 mL after the operation.The cases which pathological findings before the operation accorded with pathological results after loop electrosurgical excision procedure were 216 cases.The case degrading after the operation was 1 case;and which escalating was 6 cases.Conclusion Loop electrosurgical excision procedure has significant value in the treatment of cervical lesions,because of shorter operating time,lesser bleeding in operation and providing intact pathological samples.