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目的探讨宫颈环形电切术在诊治维吾尔妇女宫颈病变患者中临床意义。方法回顾分析98例行宫颈LEEP手术的宫颈上皮内瘤变患者,观察手术前后病理诊断变化及术后随访情况,评价LEEP手术对宫颈上皮内瘤变的治疗效果。结果 98例患者阴道镜下宫颈活检结果与宫颈LEEP术后病理诊断完全复合者72例(73.4%),不符合者18例(18.36%),诊断不足12例(12.2%)漏诊浸润癌2例,漏诊率(2.04%),92例随访6个月,12个月行细胞学检测及阴道镜活检,复发率2例。结论 LEEP在切除病变时可有效消除HPV感染。有效降低了CIN患者向宫颈癌进展的危险性,由此可见LEEP是治疗CIN的理想手段。
Objective To investigate the clinical significance of cervical circumcision in the diagnosis and treatment of cervical lesions in Uighur women. Methods A retrospective analysis of 98 patients with cervical intraepithelial neoplasia undergoing LEEP surgery was performed. The pathological changes and postoperative follow-up were observed before and after the operation. The therapeutic effect of LEEP on cervical intraepithelial neoplasia was evaluated. Results Seventy-eight cases (73.4%) underwent colposcopy and 18 cases (18.36%) underwent non-coincidental cervical biopsy after cervical colposcopy with LEEP. There were 12 cases (12.2%) with missed diagnosis of invasive carcinoma , Misdiagnosis rate (2.04%), 92 cases were followed up for 6 months, 12 months cytology and colposcopy biopsy, the recurrence rate in 2 cases. Conclusion LEEP can effectively eliminate HPV infection in the removal of lesions. Effectively reduce the risk of CIN patients to cervical cancer progression, we can see that LEEP is the ideal means of treatment of CIN.