宫颈环形电切术治疗宫颈上皮内瘤样病变的临床观察

摘要

目的 探讨宫颈环形电切术(LEEP)治疗宫颈上皮内瘤样病变(CIN)的临床效果.方法 回顾性分析近2年来我院应用LEEP诊治67例CIN患者的临床资料.结果 本组65例患者术后3～7 d宫颈创面逐渐脱痂,第10 d有少量出血,20 d后阴道排液逐渐减少,1个月创面愈合95%.术后病理结果:23例CINⅡ级患者中1例上升为CIN Ⅲ级,25例CIN Ⅲ级患者中1例为原位癌,原位癌6例中1例为浸润癌.术后对所有患者进行随访,时间至少6个月,术后患者创面愈合好,阴道排液量减少,月经周期、经期无改变.结论 LEEP具有操作简单、出血少、时间短、术后恢复快的特点,在CIN临床诊断和治疗上具有重要的使用价值.%Objective To explore the clinical observation of loop electrosurgical excision procedure for (LEEP) the treatment of cervical intraepithelial neoplasia(CIN). Methods The clinical data were analyzed retro-spectively. 67 patients recieved LEEP and CIN for diagnosis and therapy. Results The cervical wound in 65 cases of patients scabbed off gradually 3 ～ 7 days after surgery and article 10 d a small amount of bleeding occurred on the 10th day. After 20 days vaginal discharge gradually decreased. 1-month wound healing rate was 95%. results of pathology showed that 1 of 23 cases of CIN Ⅱ raised CIN Ⅲ. One of 25 cases of CIN Ⅲ proved to be carcinoma in situ in. One of 6 cases of carcinoma in situ case proved to be invasive carcinoma. Conclusion LEEP is a simple operation with little bleeding and quick postoperative recovery, showing an important value for the clinical diagnosis and treatment of CIN.