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宫颈上皮内瘤变经LEEP治疗后人乳头瘤病毒基因组的变化
引用本文:艾淑芬. 宫颈上皮内瘤变经LEEP治疗后人乳头瘤病毒基因组的变化[J]. 中国伤残医学, 2011, 19(1): 9-11
作者姓名:艾淑芬
作者单位:济南市长清区万德镇中心卫生院,山东,济南,250309
摘    要:目的:经治疗后人乳头瘤病毒是否持续存在的指标评价用宫颈电环切除术(LEEP)治疗宫颈上皮内瘤变的有效性。方法:在312名TCT异常,做阴道镜检查的妇女中,268名妇女随访均超过1年。共有200名妇女接受了LEEP治疗,68名妇女仅接受随访。治疗前和随访1年后分别取宫颈标本,用PCR技术检测人乳头瘤病毒脱氧核糖核酸。结果:在LEEP治疗的妇女中,139人(77.5%)治疗前的人乳头瘤病毒核糖核酸阳性。4名(2%)患者随访时仍阳性,但4人随访时的乳头瘤病毒型别均与治疗前不同。161名妇女治疗前存在Ⅰ-Ⅲ级的宫颈上皮内瘤样变(CIN),随访时仅有3例鳞状细胞不典型细胞。结论:治疗后的人乳头瘤病毒基因组被彻底清除,没有不典型增生复发。该结果提示人乳头瘤病毒检测对监测治疗的有效性非常有意义;宫颈上皮内瘤变经LEEP这种治疗可以清除人乳头瘤病毒,值得临床推广。

关 键 词:宫颈电环切除术  人乳头瘤病毒  宫颈上皮内瘤变  随访

Cervical intraepithelial neoplasia after LEEP treats the Human papilloma virus genome team change
AI Shu-fen. Cervical intraepithelial neoplasia after LEEP treats the Human papilloma virus genome team change[J]. Chinese JOurnal of Trauma and Disability Medicine, 2011, 19(1): 9-11
Authors:AI Shu-fen
Affiliation:AI Shu-fen(Changqing district Wande Central hospital,Jinan,Shandong Province 250309)
Abstract:Objective: After treats the Human papilloma virus whether to exist continually the target appraisal treats the validity which with loop electrosurgical excision procedure(LEEP)in the cervical intraepithelial neoplasia.Methods: Abnormal TCT be found in 312 women who makes the vaginoscope inspection,268 women make a follow-up visit surpass for 1 year.200 women accept the LEEP treatment,68 women only accepted the revisit.Before the treatment and follow-up visit 1 year later,patiens were took the cervix of the ...
Keywords:LEEP  Human papilloma virus  Cervical intraepithelial neoplasia  
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