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目的探讨宫颈环形切除术(LEEP刀)在宫颈疾病诊断和治疗中的临床应用效果。方法对经妇科检查、宫颈脱落细胞学检查、阴道镜及宫颈活检初步诊断不同类型的宫颈疾病的患者180例采用LEEP手术治疗,切除病变组织送病理检查,观察手术时间、术中出血量及术后疗效。结果LEEP手术治疗宫颈疾病一次成功率97.22%,手术时间3~20 min,平均5.2 min,平均出血量为(7.2±0.6)m。l无一例术中大出血,术后无感染发生。手术标本经病理检查明确诊断,病理标本对诊断宫颈原位癌及早期浸润癌有极高的价值。结论LEEP是治疗宫颈疾病的一种理想手段,操作简单,易于掌握,切除组织送病理,不影响病理结果的判断,提高了宫颈早期浸润癌的诊断率,降低了漏诊率。
Objective To investigate the clinical effect of cervical ring resection (LEEP) in the diagnosis and treatment of cervical diseases. Methods 180 patients with different types of cervical diseases diagnosed by gynecological examination, cervical cytology, colposcopy and cervical biopsy were treated with LEEP. The diseased tissues were removed for pathological examination. The operation time, intraoperative blood loss and operation After the effect. Results The success rate of LEEP in the treatment of cervical diseases was 97.22%. The operation time was 3 to 20 minutes (mean, 5.2 minutes). The average bleeding volume was (7.2 ± 0.6) m. l No case of intraoperative bleeding, no postoperative infection. Surgical specimens by the pathological examination of a clear diagnosis of pathological specimens for the diagnosis of carcinoma in situ and early invasive carcinoma of the cervix have a high value. Conclusions LEEP is an ideal method for treating cervical diseases. It is easy to operate and easy to grasp. LEEP does not affect the judgment of pathological results, improves the diagnosis rate of early invasive carcinoma of the cervix and reduces the rate of misdiagnosis.