环状电切术治疗宫颈疾病1130例回顾性分析

LEEP in the treatment of cervical disease: Retrospective analysis

目的探讨宫颈环状电切术治疗宫颈疾病的临床价值。方法回顾性分析2008-02～2011-03采用宫颈环状电切术治疗宫颈疾病1130例,就其手术方法、手术注意事项及并发症的预防和处理进行分析。结果1130例中宫颈糜烂Ⅱ度441例,宫颈糜烂Ⅲ度214例,宫颈息肉88例,宫颈腺囊肿117例,宫颈肥大22例,宫颈子宫内膜异位症14例,宫颈尖锐湿疣13例,宫颈肌瘤9例,宫颈上皮内瘤变60例,宫颈活检152例。手术及术后恢复顺利,手术时间2～10 min,平均(6.2±2.1)min,平均出血量为(5.1±3.3)ml,治愈率96.12%,总有效率100%,无并发症。结论宫颈环状电切术治疗宫颈疾病出血少、手术时间短、治愈率高、安全有效。

Objective To investigate the treatment of loop eletrosurgical excision proce-Dure （LEEP） on cervical disease. Methods Retrospective analysis of 1130 patients with cervical disease underwent LEEP treatment was reported in this study, including security, efficient, operation matters needed attention, complications prevention and treatment, the time of surgery, blood loss and postoperative recovery etc. Result The average operation time was （6.2＋2.1） min, the average intraoperative blood was （5.1~3.3） ml, the average postoperative recovery in good condition, the cure rate reached 96.12%, with an overall effective rate of 100%, and no significant complications. Conclusion LEEP is an easy therapy for cervical disease, it has many advantages such as little surgical time, less blood loss, high cure rate, it should be widely promoted in clinical practice.