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目的:探讨阴道镜检查结合LEEP刀治疗宫颈病变的疗效。方法:回顾性分析2009年6月-2011年6月于我院门诊就诊的宫颈病变患者120例,行阴道镜检查结合LEEP刀治疗,随访治疗效果及并发症的发生情况。结果:120例患者中,117例4-8周宫颈光滑,宫颈外观形态恢复正常,3例成形稍差,占2.5%;术后1周、2周、4月、8月复查,120例患者术后1周内无阴道出血和不适,77例术后第1～2周出现少量血性分泌物,持续2～5d,另2例少量出血持续近20d。无感染及宫颈粘连狭窄发生;120例患者LEEP术后与阴道镜下活检结果相比较,符合者80例(66.7%),有差异者40例(33.3%),病理诊断存在差别,差异具有统计学意义(P<0.05)。结论:阴道镜检查结合LEEP刀使用更有助于宫颈疾病的早发现、早诊断、早治疗,值得进一步推广应用。
Objective: To explore colposcopy combined with LEEP knife curative effect of cervical lesions. Methods: A retrospective analysis of 120 cases of cervical lesions in our outpatient clinic from June 2009 to June 2011 was performed with colposcopy and LEEP knife. The follow-up results and complications were observed. Results: Of the 120 patients, 117 cases were smooth for 4 to 8 weeks, and the appearance of cervix was normal. The shape of 3 cases was slightly worse, accounting for 2.5%. One week, 2 weeks, 4 months and 8 months after operation, 120 cases There was no vaginal bleeding and discomfort within 1 week after operation. A small amount of bloody discharge was observed in 77 cases 1 ~ 2 weeks after operation for 2 ~ 5 days, and the other 2 cases continued bleeding for nearly 20 days. There were 80 cases (66.7%) in 40 cases (33.3%) with difference of LEEP and colposcopy biopsy results after the LEEP operation, there were differences in the pathological diagnosis, the difference was statistically Significance (P <0.05). Conclusion: Colposcopy combined with LEEP knife is more helpful for early detection, early diagnosis and early treatment of cervical diseases, which is worth further promotion and application.