宫颈环形电切除术(LEEP)治疗宫颈上皮内瘤变的疗效观察

目的探讨评价宫颈环形电切除术(LEEP)对宫颈上皮内瘤样病变的治疗效果。方法从该院收治入院的宫颈上皮内瘤变患者中抽取60例,分为观察组与对照组,观察组患者实施宫颈环形电切除术(LEEP)治疗,对照组患者实施宫颈冷刀锥切术(CKC)进行治疗。对比两组患者的手术时间、术中出血量、术后残余及复发率。结果观察组患者的手术时间及术中出血量明显少于对照组患者,差异有统计学意义(P<0.05);两组患者的术后残余及复发率较为接近,差异无统计学意义(P>0.05)。结论在对宫颈上皮内瘤变的临床治疗中,宫颈环形电切除术的治疗效果与宫颈冷刀锥切术基本一致,均能有对病变部位进行有效的切除并能控制较低复发率。但宫颈环形电切除术能明显缩短手术时间,减少术中出血量,明显降低了手术风险,可以作为临床首选治疗方法。

LEEP Procedure in the Treatment of Patients with Cervical Intraepithelial Neoplasia

Objective To observe effects of LEEP on cervical intraepithelial neoplasia treatment. Methods From hospital admission of patients with cervical intraepithelial neoplasia in selected 60 cases, the patients in the observation group were treated with LEEP, patients in group were treated with CKC. The two groups were compared the operation time, bleeding volume, postoperative residual and recurrent rate. Results The patients in the observation group in the operation time and the amount of bleeding in operation were less than that of the control group, the difference was statistically significant（P〈0.05）; two groups of patients with postoperative residual and recurrent rate is relatively close, difference has statistical significance（P〉0.05 ）. Conclusion In the cervical intraepithelial neoplasia clinical treatment, curative effect of LEEP and CKC are basically the same, all can have on the site of lesion resection and can effectively control the lower the relapse rate. But LEEP can shorten operation time, reduce the amount of bleeding in operation, obviously reduces the risk of operation, can be used as a clinical treatments of choice.