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目的:探讨宫颈环形电切术(LEEP)诊治持续性宫颈上皮内瘤变Ⅰ级(CINⅠ)的价值,为控制宫颈癌发生提供科学依据。方法:回顾性分析笔者所在医院实施LEEP治疗134例持续性CINⅠ级患者的临床资料,对低龄组及高龄组术前、术后病理诊断结果进行分析。结果:不同年龄组术后病理级别升高率比较,差异有统计学意义(P<0.05)。结论:LEEP是诊断及治疗CIN的有效方法,对于年龄大,特别是绝经后的持续性CINⅠ级患者,应尽早行LEEP手术,对早期发现宫颈癌有重要意义。
Objective: To investigate the value of cervical ring electrosurgical excision (LEEP) in the diagnosis and treatment of persistent cervical intraepithelial neoplasia grade Ⅰ (CIN Ⅰ), and to provide a scientific basis for the control of cervical cancer. Methods: The clinical data of 134 consecutive CIN Ⅰ patients treated by LEEP in our hospital were retrospectively analyzed. The preoperative and postoperative pathological diagnosis results were analyzed in the younger age group and the elderly group. Results: There were significant differences in the pathological grade in different age groups (P <0.05). Conclusion: LEEP is an effective method to diagnose and treat CIN. For older CIN Ⅰ patients, especially postmenopausal patients with persistent CIN Ⅰ, LEEP should be performed as soon as possible, which is of great significance for the early detection of cervical cancer.