宫颈环形电切术治疗宫颈上皮内瘤样病变87例临床分析

目的探讨使用高频电波刀作官颈环形电切术切除宫颈上皮内瘤样病变（CIN）的临床价值。方法阴道镜下活检病理诊断为CIN87例，行电波刀宫颈环形电切术，术后2个月及9个月行阴道镜复查并作细胞学追踪。结果术后2个月：阴道镜检查图像正常者82例（94．3％），另5例为宫颈表面出现红斑，活检均为炎症或正常宫颈组织；细胞涂片阴性79例（90．8％），细胞核肥大或轻度核异质8例（9．2％）。9个月后复查72例，阴道镜下均无CIN图像，细胞学正常者70例（97，2％），细胞核肥大2例（2．8％）。结论只要对（21N病变切除的范围够大、够深、够彻底，就不会出现CIN的残留和复发。高频电波刀行宫颈环行电切除是治疗CIN有效手段。

87 cases of loop electrosurgical excision procedure for cervical intraepithelial neoplasia

Objective To evaluate the loop electrosurgical excision procedure(LEEP) in the treatment of cervical intraepithelial neoplasia(CIN).?Methods 87 patients with CIN diagnosed by biopsy were operated on by LEEP.They were rechecked by colposcopy and cytologic examination after two months and nine months.?Results Two months after operation,82 patients(94.3%) showed normal appearance in colposcopy examination,the other 5 were carrying clusters of white or red epithelial patches of inflammatory or normal cervical tissue.Cytologic smear was negative in 79(90.8%) cases,with some hypertrophic or slightly abnormal nuclei found in the other 8 cases.Nine months later,colposcopy was all negative in the 72 cases rechecked,cytological examination revealed hypertrophic nuclei in 2 cases.?Conclusion If the LEEP for cervical precancerous lesions is thoroughly done,there will be no trouble of CIN recurrence in the future.