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目的:探讨宫环形电切术(LEEP术)在宫颈上皮内瘤样病变(CIN)诊断及治疗中的应用价值。方法:对2009年2月至2009年11月在我院就诊的127例施行LEEP术患者资料进行回顾,观察手术时间、术中出血量并对比分析LEEP术前术后病理结果。结果:127例患者行LEEP术前、后病理诊断级别一致80例(62.99%),级别上升12例(9.45%),级别下降35例(27.56%);平均手术时间为9min,平均出血量为15ml。结论:LEEP术具有操作简单、安全有效、术后并发症少且可提供完整的病理标本的优点,能提高CIN的早期诊断率、降低CIN的漏诊率;是诊断及治疗CIN病变的一种非常有价值的方法。
Objective: To investigate the value of LEEP in the diagnosis and treatment of cervical intraepithelial neoplasia (CIN). Methods: The data of 127 patients undergoing LEEP from January 2009 to November 2009 were retrospectively reviewed. The operative time, intraoperative blood loss and preoperative and postoperative LEEP pathological results were compared. Results: The pathological diagnosis of LEEP was consistent in 80 cases (62.99%) in 127 cases before and after LEEP, 12 cases (9.45%) were increased in level and 35 cases (27.56%) were decreased in level. The average operation time was 9 minutes 15ml. Conclusions: LEEP has the advantages of simple operation, safe and effective, less postoperative complications and can provide complete pathological specimens, which can improve the early diagnosis rate of CIN and reduce the misdiagnosis rate of CIN. It is a very important method for diagnosis and treatment of CIN Valuable method.