目的:探讨高频电波刀电圈切除(LEEP)治疗子宫颈病变的临床效果.方法:回顾性分析75例经阴道镜检查并活检诊断为子宫颈上皮内瘤样病变、子宫颈湿疣、子宫颈炎症后行LEEP手术治疗的患者术中出血及反应、术后并发症、子宫颈塑形的情况.结果:75例子宫颈疾病患者术中出血＜5 ml 56例,5～10 ml 14例,>10～15 ml 2例,>15～20 ml 2例,>20 ml 1例.术中15例局部有灼热感,2例下腹坠痛,58例无不适感.术后并发症5例.子宫颈塑形满意64例,欠满意8例,不满意3例.结论:严格掌握手术指征,把握手术范围和深度,有序的复查,是提高LEEP术治疗子宫颈病变临床效果的保证.%Objective:To discuss the clinical eftects of loop electrosurgical excision procedure (LEEP) treatnent of cervical lesions.Methods: A retrospective analysis was conducted on LEEr treatnent of 75 cases which were diagnosed as CIN, cervical condylona and cervicite through colposcopy histopathology. The analysis of bleeding during surgery， conplication after surgery， and effect of cervical shapping were done. Results:The levels of blood loss during surgery were as following: 5 ～ 10 mi in 14 cases; >10 ～ 15 mi in 2 cases; > 15 ～ 20 mi in 2 cases; > 20 mi in I case. The reactions of surgery included local bunning sensation in 15 cases, hypogastrolgia in 2 cases with and no unwell in 58 cases. The postoperative conplications happened in 5 cases. Sixty-four patients were satisfied with the outcones of cervical regeneration, while 8 patients less satisfied and 3 patients not satisfied. Conclusions:The clinical effects of LEEP treatnent in cervical lesions can be effectively inproved when we understand the operative indications, control the operative range and depth, and orderly review.
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