摘要
目的探讨宫颈环形电切术(LEEP)在诊断和治疗宫颈上皮内瘤变中的临床其应用价值。方法采用LEEP对65例宫颈上皮内瘤变患者进行治疗,对其疗效作回顾性分析。结果LEEP手术时间及术中出血量随病变的严重程度增加而增加,手术时间与术中出血量成正相关关系。术前术后病理诊断一致占66.2%;术后病理诊断级别下降占7.7%;术后病理诊断级别上升占26.1%。LEEP治愈率90.8%(59/61),手术时间中位数8.00 min,出血量中位数9.50 ml,术后出血量多5例7.7%(5/65)。结论LEEP为诊断宫颈上皮内瘤变提供可靠的病理标本,只要掌握手术指征,规范手术步骤,注意术后定期追踪随访,可获得满意疗效。
Objective To investigate the curative effect of loop electrosurgical excision procedure（LEEP） in the diagnosis and treatment of cervical intraepithelial neoplasia. Methods Sixty five cases with cervical intraepithelial neoplasia which treated by LEEP from Sep. 2005 to Jan. 2007 were analyzed retrospectively. Results The operation time and volume of intraoperative hemorrhage increased with the severity of CIN. The relationship between operation time and volume of intraoperative hemorrhage was positive correlation.The preoperative diagnosis of 43 cases （66.2%） were in accordance with the postoperative ones. The postoperative diagnosis were upgraded in 17 eases（26.1% ） ,and downgraded in 5 cases （7.7%）. The cure rate was 90. 8% （59/61）, The median operation time was 8.00 minutes,the median volume of hemorrhage was 9.50 ml. Complication we found was bleeding,Milch happened in 5 cases （7.7%）after LEEP. Conclusion LEEP could provide reliable specimen to diagnose and treat cervical intraepithelial neoplasia,and it is a safe and effective procedure in treating CIN. Satisfactory results can be achieved by mastering surgical indications and standard procedures and paying attention to follow-up regularly.
出处
《广西医学》
CAS
2007年第9期1322-1325,共4页
Guangxi Medical Journal
基金
广西梧州市科学研究与技术开发计划课题(梧科Z200743)
关键词
宫颈上皮内瘤变
环形电切术
诊断
手术时间
术中出血
Cervical intraepithelial neoplasia
Loop electrosurgical excision procedure
Diagnosis
Operation time
Intraoperative hemorrhage
