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目的:探讨宫颈环形电切术(LEEP)对宫颈上皮内瘤变(CIN)的诊断和治疗效果,术中、术后并发症的防治及预后。方法:对洛阳东方医院就诊的123例CIN患者进行LEEP手术并对术中、术后情况及其疗效进行回顾性分析。结果:阴道镜下宫颈活检与LEEP手术病理诊断相符的65例(52.8%);术后诊断级别下降50例(40.7%);而诊断级别上升8例(6.5%),其中微小浸润癌1例。96例(78.0%)宫颈标本边缘病理学检查未见CIN病变;27例(22%)宫颈标本边缘CIN病变检测阳性或不能指定(由于电灼对细胞的破坏而影响诊断),其中CIN病变残留患者为3例,复发患者为2例;而在96例(78.0%)宫颈标本边缘无CIN病变累及患者中,仅有1例CIN病变残留,无复发患者。123例中,首次术后治愈117例(95.1%);4例(3.3%)患者发现残留CIN病变,2例(1.6%)患者术后复发;11例(8.9%)患者出现术中、术后并发症。结论:LEEP治疗CIN快速安全、复发率低、术后并发症少,可以弥补阴道镜下宫颈活检的不足,是目前治疗CIN的最佳方法。但要掌握手术指征,规范手术操作,注意标本边缘的病理检查结果。
Objective: To investigate the effect of cervical ring electrosurgical excision (LEEP) on the diagnosis and treatment of cervical intraepithelial neoplasia (CIN) and the prevention and treatment of intraoperative and postoperative complications. Methods: A total of 123 CIN patients treated in Luoyang Oriental Hospital underwent LEEP operation. The postoperative and postoperative effects and their efficacy were analyzed retrospectively. Results: 65 cases (52.8%) were diagnosed colposcopic biopsy with pathological diagnosis of LEEP, 50 cases (40.7%) were diagnosed as postoperative diagnosis, and 8 cases (6.5%) were diagnosed as diagnosed. One case of microinvasive carcinoma . Cervical specimens from 96 patients (78.0%) did not show any pathological changes of CIN. CIN lesions were detected in 27 cases (22%) of the cervical specimens either positive or not (due to the destruction of cells by electrocautery), of which CIN lesions Of the three patients, there were 3 patients with recurrent disease and 2 patients with recurrent disease. Of the 96 patients (78.0%) with no CIN lesions at the margins of the cervical specimens, only 1 patient with CIN remained without recurrence. Among the 123 cases, the first postoperative cured was 117 cases (95.1%). The residual CIN lesions were found in 4 cases (3.3%), and the recurrence was found in 2 cases (1.6%). In 11 cases (8.9% Postoperative complications. Conclusions: LEEP is a safe and safe CIN with low recurrence rate and few postoperative complications. It can make up for the lack of cervical biopsy under colposcopy and is the best way to treat CIN. However, surgical indications should be mastered, regulate surgical procedures, pay attention to the edge of the specimen pathological examination results.