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目的:探讨高频电波刀治疗宫颈上皮内瘤样病变(CIN)的效果。方法:回顾性分析采用阴道镜检查及高频电波刀治疗212例CIN患者的临床资料。结果:212例CINⅠ～Ⅲ患者手术前后的病理诊断符合率为71.2%(151/212),升级10.4%(22/212),降级18.4%(39/212)。剔除因LEEP术后为原位癌而行再次手术的1例病人,共治愈197人(93.4%),复发14人(6.6%)。复发与术后病理切缘阳性、累及腺体、HPV感染有关,与病变级别无关。结论:高频电波刀治疗CIN安全有效、并发症少,在治疗的同时能进行诊断,避免了早期宫颈癌漏诊。但术后仍需重视随诊工作,防止病变残留与复发。
Objective: To investigate the effect of high frequency electric wave knife in the treatment of cervical intraepithelial neoplasia (CIN). Methods: The clinical data of 212 CIN patients treated with colposcopy and high frequency electric wave knife were retrospectively analyzed. Results: The coincidence rate of pathological diagnosis of 212 patients with CIN Ⅰ ~ Ⅲ before and after operation was 71.2% (151/212), 10.4% (22/212) and 18.4% (39/212) respectively. A total of 197 patients (93.4%) and 14 patients (6.6%) were cured of recurrence after LEEP. Recurrence and pathology positive margins, involving glands, HPV infection, and has nothing to do with the level of lesions. Conclusion: The treatment of CIN by high frequency electric wave knife is safe and effective, with fewer complications. It can be diagnosed at the same time of treatment and avoid the misdiagnosis of early cervical cancer. But still need to pay attention to follow-up after surgery to prevent residual disease and recurrence.