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宫颈环形电切术诊治宫颈上皮内瘤变的临床研究
引用本文:吴彩琴,崔英华. 宫颈环形电切术诊治宫颈上皮内瘤变的临床研究[J]. 中国妇幼保健, 2011, 26(28): 4449-4450
作者姓名:吴彩琴  崔英华
作者单位:漯河医学高等专科学校第三附属医院妇产科,河南漯河,462002
摘    要:
目的:探讨使用高频电波刀作宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变(CIN)的临床价值。方法:经宫颈液基薄片细胞学检查(TCT)和阴道镜下活检,病理诊断为CIN 232例,行LEEP治疗。术后3个月、6个月~2年常规行TCT追踪随访,异常者再行阴道镜检查及活检。结果:术后3个月复查232例,TCT正常者220例(94.83%),异常者12例(5.17%),阴道镜检查宫颈表面出现红斑,活检均为炎症或正常宫颈组织;术后6个月复查228例,TCT正常者222例(97.37%),异常者4例(2.63%),阴道镜检查及活检均为炎症;术后2年复查172例,TCT阴性170例(98.84%),异常者2例(1.16%),阴道镜检查及活检1例为炎症,1例为CINⅠ。结论:宫颈环形电切术治疗宫颈上皮内瘤样病变操作简单、安全、成功率高,但要注意病变切除的范围及随访,宫颈环形电切术是治疗CIN有效手段。

关 键 词:宫颈环形电切术  宫颈上皮内瘤样病变  宫颈细胞学检查

Clinical research of loop electrosurgical excision procedure for diagnosis and treatment of cervical intraepitheliai neoplasia
WU Cai-Qin,CUI Ying-Hua. Clinical research of loop electrosurgical excision procedure for diagnosis and treatment of cervical intraepitheliai neoplasia[J]. Maternal and Child Health Care of China, 2011, 26(28): 4449-4450
Authors:WU Cai-Qin  CUI Ying-Hua
Affiliation:WU Cai-Qin,CUI Ying-Hua.Department of Gynecology and Obstetrics,the Third Affiliated Hospital of Luohe Medical College,Luohe 462002,He'nan,China
Abstract:
Objective:To explore the clinical value of loop electrosurgical excision procedure(LEEP) in treatment of cervical intraepithelial neoplasia(CIN).Methods:232 cases diagnosed as CIN definitely after Thin prep cytologic test(TCT) and biopsy under colposcope were treated by LEEP.TCT was used for follow-up at 3 months,6 months and 2 years after surgery routinely,the cases with abnormal results underwent colposcopy and biopsy.Results:232 cases were followed up at 3 months after surgery,220 cases(94.83%) were foun...
Keywords:Loop electrosurgical excision procedure  Cervical intraepithelial neoplasia  Cervical cytological examination  
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