【摘要】 目的：了解环状电切术(LEEP)对宫颈疾病(包括炎症、宫颈癌前病变和早期宫颈癌)的诊冶作用。方法：回顾性分析经TCT、阴道镜诊断为宫颈鳞状上皮不典型增生(CIN)、不能明确意义的不典型鳞状上皮(ASCUS)、宫颈糜烂、宫颈肥大、宫颈肌瘤、息肉等共228例，行LEEP宫颈锥切，手术标本均送病理检查，观察手术时间、术中出血量、病人反应及疗效。结果：手术平均时间3min，术中平均出血7ml，患者无明显不适，术后病灶消失，阴道分泌物明显减少，无宫颈粘连或感染发生。结论：LEEP治疗具有手术时间短、出血少、疗效好、安全无副作用的特点，可取得完整病理标本，对治疗宫颈病变和早期诊断原位癌具有重要的临床价值。
【关键词】 LEEP;宫颈病变;诊断;治疗
基金项目：河北省科学技术研究与发展指导计划项目(编号：062761914)
Clinical Observation for Cervical Loop Electrosurgical Excision Procedure
in Diagnosis and Treatment of Cervical Diseases
JIAO Guiqing, SHU Lisha
The First Affiliated Hospital，Hebei North University,Zhangjiakou, 075000,Hebei,China
【ABSTRACT】 Objective: To study the clinical effect of cervical loop electrosurgical excision procedure (LEEP) in diagnosis and treatment of cervical diseases (including cervicitis, cervical intraepithelial neoplasia and cervical cancer). Methods: 228 patients were analyzed retrospectively who were diagnosed CIN, ASCUS, cervical erosion, loose, cervical muscle tumour, polyp etc by TCT or colposcopy. Operation with loop cone biopsy underwent LEEP and sample were given pathology check.The operation time, bleeding amount, patients reacting and curative effect of the operation were observed as well. Results: The average time of operation was 3 minutes, the average bleeding amount of operation was 7ml. It had not obviously uncomfortable phenomenon for patient, and the focus disappeared after the operation. The vagina secretion obviously reduced and it had notcervicaladhesionorinfection. Conclusion: The LEEP has the characteristics of short operation time and less bleeding. It is safe and has a good curative effect without side effect. It can make the intact pathology sample and has important clinical value for treating the cervical lesions and diagnosing carcinoma in situ of cervix in early days.
【KEY WORDS】LEEP; Cervical lesions; Diagnosis; Treatment
宫颈病变是妇科常见疾病，宫颈癌是女性生殖道的第一大癌瘤，近几年来，对宫颈疾
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