LEEP电切术治疗196例宫颈上皮内瘤样变患者的疗效观察

目的探讨LEEP环型电切术在宫颈上皮内瘤样变诊断、治疗中的作用。方法应用LEEP对196例宫颈上皮内瘤样变（Cervical Intraepithelial Neoplasia-like Lesions,CIN）患者进行诊断和治疗,采用自身对照法对其疗效及病理检查进行回顾性分析。结果 196例患者LEEP术后病理诊断结果,CINⅠ级92例（46.94%）;CINⅡ级75例（38.26%）,CINⅢ级29例（14.79%,包括宫颈原位癌3例）;196例患者术前进行阴道镜下多点活检,将病理检查结果进行对比,完全符合者178例（90.82%）。手术时间3～10 min,出血量约5～15 ml。所有患者经4～8周后随访观察宫颈形态基本正常。术后6个月细胞学复查转阴率为100.0%。结论宫颈LEEP环型电切术具有操作简单,手术时间短,痛苦小,出血少,不需麻醉,并发症少等优点,是一种较理想的CIN诊断、治疗手段。

Clinical effect analysis of high-frequency radio wave LEEP resection on 196 cases with cervical intraepithelial neoplasia-like lesions

Objective To evaluate the clinical roles of LEEP ring electrosurgical excision in cervical intraepithelial neoplasia-like lesions.Methods LEEP ring electrosurgical excision was employed to diagnosis and treat 196 cases with cervical intraepithelial neoplasia-like lesions.Its efficacy and pathological changes were retrospectively analyzed.Results Of the 196 CNI patients,92 cases（46.94%） were pathologically diagnosed CIN grade Ⅰ,75 cases（38.26%） CIN grade Ⅱ,and 29 cases CIN grade Ⅲ（14.79%）.Compared with the colposcopic multi-site biopsy before LEEP treatment,the pathological diagnosis of 178 cases（90.82%） were consistent with their colposcopic multi-site biopsy.The LEEP time lasted for 3～10min,and the blood loss were about 5～15ml.By follow-up study of 4 to 8 weeks,all patients＇ cervical shapes were normal,and cytology negative turn rate was 100.0% in 6 months after the LEEP treatments.Conclusions Cervical LEEP ring electrosurgical excision is a simple procedure with short operation time,less pain,less bleeding,no anesthesia and fewer complications.