宫颈电环切除术治疗宫颈病变的临床观察

目的: 探讨宫颈电环切除术(LEEP)治疗宫颈病变的临床疗效。方法: 对经过妇科检查、宫颈脱落细胞学检查、阴道镜及宫颈活检初步诊断为不同类型宫颈疾病的患者31例采用LEEP手术治疗,切除病变组织或行宫颈锥切,手术标本均送病理学检查;同时观察手术时间、手术出血量及术后疗效。结果: LEEP手术治疗宫颈疾病一次成功率为96.78%,平均手术时间4.65 min,出血量4.97 ml,无继发性出血和感染的发生;手术标本经病理学检查明确诊断。结论: LEEP治疗各类宫颈疾病操作简单、安全,手术时间短,出血少,术后阴道排液少,是目前治疗宫颈病变的最佳方法。

Clinical observation on loop electrosurgical excision procedure in management of cervical pathological changes

Objective:To investigate the clinical efficacy of loop electrosurgical excision procedure(LEEP) in treatment of cervical lesions.Methods:Thirty-one patients with different cervical diseases were diagnosed by optical observation,cytology,colposcopy and cervical biopsy.The lesions were treated with LEEP.The cure rate,the operative time,bleeding volume and postoperative effects were recorded.Results:The cure rate of LEEP was 96.78%.The mean operative time was 4.65 minutes.The mean bleeding volume was 4.97 ml.No secondary bleeding and postoperative infection occurred.All these surgical specimens were examined and the diagnosis was confirmed by pathology.Conclusions:The LEEP in management of the cervical diseases is simple and safe with short operative time,less bleeding and vaginal discharge.It is the best method in treatment of cervical pathological lesions.