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随着宫颈上皮内瘤样病变(CIN)发生率的升高,人乳头瘤病毒(HPV)感染的增加和宫颈癌患者趋于年轻化,宫颈环形电切除术(loop electro-surgical excisional procedure,LEEP)术以其简单易行、疗效满意为广大医患所接受,也越来越显示其特有的优越性。随着LEEP手术的广泛开展,术中、术后并发症也逐渐引起重视。宫颈组织的切除影响宫颈结构及机能的完整性,引起宫颈狭窄、宫颈粘液缺失、宫颈机能不健全等导致医源性不孕。术中切除过多宫颈组织,可能因此引起宫颈管粘连、宫颈管纤维组织增生以致自然分娩时导致宫颈管扩张困难,产程延长,或因宫颈管缩短引发后天性宫颈机能不全,引起晚期自然流产、早产、急产。掌握手术指征,规范手术操作,术后严密观察,减少术后并发症,对于减少不良生殖结局、提高手术成功率具有重要意义。
With an increase in the incidence of cervical intraepithelial neoplasia (CIN), an increase in human papillomavirus (HPV) infection and an increase in younger patients with cervical cancer, the loop electro-surgical excisional procedure (LEEP ) Surgery with its simple and easy, satisfactory results for the majority of patients accepted, but also more and more show its unique advantages. With the extensive operation of LEEP surgery, intraoperative and postoperative complications have gradually attracted more attention. Cervical resection affect the integrity of the cervical structure and function, causing cervical stenosis, cervical mucus loss, cervical dysfunction, leading to iatrogenic infertility. Intraoperative resection of excessive cervical tissue may lead to cervical canal adhesions, cervical canal proliferation of fibrous tissue resulting in natural childbirth lead to cervical dilatation difficulties, prolonged labor, or cervical canal caused by shortening acquired cervical incompetence, causing late spontaneous abortion, Premature delivery, emergency. To master the surgical indications, regulate the operation of the operation, observe closely after the operation and reduce the postoperative complications are of great significance for reducing the unfavorable reproductive outcome and improving the success rate of the operation.