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目的:探讨宫颈环形电切术(LEEP)联合保妇康栓对宫颈上皮内瘤变(CIN)的诊疗价值。方法:对132例CIN患者行电子阴道镜下宫颈多点活检及LEEP术,术后阴道内放置保妇康栓1枚/日1次×12次,观察术后恢复情况,并对其疗效做回顾性分析。结果:与术前电子阴道镜下宫颈多点活检的诊断结果相比,132例LEEP术后病理结果级别升高者25例,电子阴道镜下宫颈活检诊断结果与最终结果的符合率为71.96%,LEEP术后病理结果最终结果的符合率96.96%,两者比较差异有统计学意义(P<0.05)。结论:LEEP联合保妇康栓治疗CIN具有操作简单、手术时间短、疗效好、术后并发症少,且可提供完整的病理标本等优点,对CIN是一种较理想的诊疗手段。
Objective: To investigate the value of cervical ring electrosurgical (LEEP) combined with Baofukang suppository in diagnosis and treatment of cervical intraepithelial neoplasia (CIN). Methods: 132 cases of CIN underwent multiple colposcopy biopsy under electronic colposcopy and LEEP surgery, postoperative intravaginal placed Baofukang suppository 1 / day × 12 times, to observe the postoperative recovery, and its efficacy to do Retrospective analysis. Results: Compared with the diagnostic results of multiple biopsy of cervix under preoperative electron colposcopy, the pathological results of 132 patients with LEEP were increased in 25 cases. The coincidence rate of electronic colposcopy and end result was 71.96% The coincidence rate of LEEP postoperative pathological results was 96.96%, the difference was statistically significant (P <0.05). Conclusion: The combination of LEEP and Baofukang Suppository has the advantages of simple operation, short operative time, good curative effect, less postoperative complications and can provide complete pathological specimens, which is an ideal treatment for CIN.