宫颈电圈环切术联合阴道镜在宫颈病变诊治中的临床分析

目的:探讨宫颈电圈环切术(Loop electrosugiral excision Prcedure,LEEP)联合阴道镜在宫颈病变诊治中的临床应用价值。方法:回顾性分析经宫颈薄层液基细胞学(TCT)检测异常和电子阴道镜下宫颈多点组织病理检查异常的174例患者,均经LEEP治疗,切除组织行病理检查。结果:电子阴道镜下宫颈活检诊断结果与LEEP术后诊断符合率为72.41%,LEEP术后3个月随访慢性宫颈炎100%治愈,ClNⅠ100%治愈,CINⅡ96.7%治愈,CINⅢ93.3%治愈。原位癌术后6月、1年随访正常。结论:LEEP对包括炎症、损伤、癌前病变等宫颈疾病是一种非常理想的诊断、治疗手段。宫颈细胞学检查,阴道镜下活检,LEEP术后病理诊断构成了宫颈病变系统的一个新的诊断模式,尤其是对微小浸润癌和原位癌的早期诊断价值高。

Clinical analysis of application of loop electrosurgical excision procedure associate with colposcopy for diagnosis and treatment of cervical diseases.

Objective:To evaluate the clinical value of loop electrosurgical excision procedure(LEEP)associated with colposcopy in diagnosis and treatment of cervical diseases.Methods:174 patients who were abnormal in colposcopy guided biopsy and TCT test were analyzed retrospectively.After treatment of LEEP,all surgical specimens were checked successfully for pathology diagnosis.Results:The correction rate of the diagnosis by colposcopy guided biopsy were 72.41% compared to the diagnosis after LEEP.3 months after LEEP treatment all patients were followed up.The cure rate of chronic cervicitis patients,CIN Ⅰ,CIN Ⅱ,CINⅢ were 100%,100%,96.7%,93.3% respectively.6 and 12 months after operation,patients of preinvasive carcinoma were normal.Conclusion:LEEP is an ideal method for diagnosis and treatment of cervical diseases including inflammation,trauma,precancerous lesions.Cervical cytology test,colposcopy guided biopsy,pathological diagnosis after LEEP make up a new diagnosis model.It is high valuable to diagnose microinvasive carcinoma and preinvasive carcinoma early.