宫颈环形电切术治疗宫颈糜烂323例疗效分析

目的观察Leep刀（宫颈环形电切术）治疗宫颈糜烂的临床效果。方法采用Leep刀治疗323例宫颈糜烂，根据病变范围选用不同电极，切除范围超过病变边缘0．3cm并尽量保证环切标本的连续性和完整性，根据病变深浅程度确定切割深度，观察手术效果和并发症。结果323例中除2例宫颈癌外，3个月后复查1次性治愈318例，治愈率为98％，3例Ⅲ°宫颈糜烂治愈后3个月复查好转为Ⅰ°，有效率为1％。结论Leep刀治疗宫颈糜烂操作简单，安全有效，不需麻醉，具有手术时间短、出血少、治愈率高、不损伤宫颈功能且可提供完整的病理标本的优点，故具有诊断和治疗的双重作用，是宫颈疾病最理想的治疗方法。

Effect of loop electrosurgical excision procedure in treating 323 cases of cervical erosion

Objective To observe the clinical effects of loop electrosurgical excision procedure （LEEP） in treating cervical erosion（CE）. Methods Three hundred and twenty -three patients with CE were treated by LEEP during which different electrodes were used according to lesion area and depth, the margin of resection was 0. 3 cm, and the succession and integrity of the specimens should be guaranteed. Curative effect and complication were obsreved. Operative time was 8 - 10 min ,hemorrhagic quantity was 6 - 10 ml. Results Three hundred and eighteen cases with no recurrence were found 1 month later except that 2 were cer- vical cancer,and the curative ratio was 98%. Three patients with m degree CE were improved and turned to be I degree after 3 month, effective rate was I%. Conclusions LEEP treatment of cervical erosion is simple, safe, has shorter operation time, less blood loss, lower postoperative complications, higher curative ratio, less cervical function loss, need no anesthesia, and can provide a complete pathological specimens. LEEP can pro- vide diagnosis and treatment of cervical cancer and is the best theatment for CE.