Leep刀治疗宫颈糜烂的临床疗效

Clinical Effect of Loop Electrosurgical Excision Procedure(LEEP) in the Treatment of Cervical Erosion(CE)

目的:观察Leep刀治疗宫颈糜烂的临床效果。方法:采用Leep刀对340例宫颈糜烂进行治疗,根据病变范围选用不同电极,切除范围超过病变边缘0.5cm,并尽量保证环切标本的连续性和完整性,根据病变深浅程度确定切割深度,观察手术效果和并发症。结果:340例患者中,除2例宫颈癌外,3个月后复查1次性治愈335例,治愈率为98%;3例Ⅲ~0宫颈糜烂治愈后3个月复查好转Ⅰ~0,有效率为1%。结论:Leep刀治疗宫颈糜烂操作简单,安全有效,不需麻醉,具有手术时间短、出血少、治愈率高、不损伤宫颈功能且可提供完整的病理标本的优点,故具有诊断和治疗的双重作用,是宫颈疾病最理想的治疗方法。

Objective: To observe the clinical effect of loop electrosurgical excision procedure(LEEP) in the treatment of cervical erosion(CE). Methods: Different electrodes were selected according to the lesion scope, and the resection scope exceeded 0.5 cm of the lesion edge, and the continuity and integrity of the circumscribed specimen were ensured as far as possible. The cutting depth was determined according to the depth of lesion. Results and complications were observed. Results: Among the 340 cases, except for 2 cases of cervical cancer, 335 cases were reexamined once after 3 months, and the cure rate was 98%. 3 patients with Ⅲ degree CE were improved and turned to be Ⅰ degree after 3 month,effective rate was 1%. Conclusion: LEEP treatment is simple, safe and effective in the treatment of cervical erosion without anesthesia. It has the advantages of short operation time, less bleeding, high cure rate, no damage to the cervical function and can provide complete pathological specimens. Therefore, it has the dual functions of diagnosis and treatment, and is the most ideal treatment method for cervical diseases.