LEEP术在宫颈上皮内瘤变中的诊治价值

目的评价LEEP术在宫颈上皮内瘤样病变中的诊治价值。方法回顾性分析674例经阴道镜诊断为CIN,后行LEEP手术治疗的患者的手术,预后及病理级别变化的情况。结果手术时间4-18 min,中位数为8 min。术中出血5-25 ml,中位数为9 ml;术后CIN分级上升的共有63例,占总例数的9.4%,级别相等的病例共有220例,占总例数的32.6%,术后分级下降的有391例,占总例数的58%。术后切缘累及共50例,占总病例数的7.73%。术后随访治愈率达98.7%。结论LEEP术在宫颈上皮内瘤变的诊治中有着重要的价值,是疾病治疗的首选方法。

The value of LEEP in diagnosis and treatment of cervical intraepithelial neoplasia

Objective To evaluate the value of loop electrosurgical excision procedure （LEEP） in diagnosis and treatment of cervical intraepithelial neoplasia. Methods Six hundred and seventy-four cases with cervical intraepithelial neoplasm diagnosed by biopsy were treated by LEEP. The prognosis and changes of pathological grades were studied. Results The operation time lasted 4 - 18 min and the median was 8 min. The amount of blood loss was 5 - 25 ml and the median was 9 ml. The pathological grade went up in 63 cases （9.4%） and had no change in 220 cases （32, 6% ） while grade went down in 391 cases （58%）. Margin specimens were involved in 50 cases （7.73 % ）. The following up curative rate was 98.7 %. Conclusion LEEP has important value in diagnosis and treatment of cervical intraepithelial neoplasia, it is the first choice for the treatment of CIN.