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目的:探讨高频电刀环切术(LEEP)在治疗宫颈良性赘生物中的疗效。方法:回顾性分析2007年1月～2009年6月应用LEEP诊治宫颈良性赘生物237例,分别于术后1、3、6个月及1年复诊观察疗效。结果:手术时间平均2 min,术中出血0.5～20 ml。术后病理宫颈炎性息肉65例,宫颈纤维型息肉52例,宫颈尖锐湿疣14例,宫颈囊腺瘤38例,宫颈肌瘤15例,宫颈良性赘生物伴CIN病变10例,宫颈血管瘤1例,乳头状瘤23,慢性炎症32例。术后1、3、6个月及1年复诊,宫颈光滑、病变部位上皮恢复为化生鳞状上皮-成熟的鳞状上皮、宫颈的正常形态及大小基本恢复到正常状态的病例数分别为169例、220例、225例及232例。结论:LEEP治疗宫颈良性赘生物操作简单、出血少、术后并发证少、疗效好、复发率低、不需住院、费用少。
Objective: To investigate the effect of high frequency electrosurgical excision (LEEP) in the treatment of benign cervical neoplasm. Methods: A retrospective analysis of 237 cases of cervical benign neoplasms treated with LEEP from January 2007 to June 2009 was performed. The curative effect was observed at 1, 3, 6 months and 1 year postoperatively. Results: The average operation time was 2 minutes and the intraoperative bleeding was 0.5-20 ml. Postoperative pathological cervical inflammatory polyp in 65 cases, 52 cases of cervical fibroids, cervical condyloma in 14 cases, 38 cases of cervical cystadenoma, cervical fibroids in 15 cases, benign cervical neoplasms with CIN lesions in 10 cases, cervical hemangioma 1 Cases, papilloma 23, 32 cases of chronic inflammation. At 1, 3, 6 months and 1 year postoperatively, the cervix was smooth and the epithelium of the lesion recovered to metaplastic squamous epithelium-mature squamous epithelium. The normal morphology and size of the cervix returned to the normal state were 169 cases, 220 cases, 225 cases and 232 cases. Conclusions: LEEP treatment of benign cervical neoplasms simple operation, less bleeding, less postoperative evidence, good effect, low recurrence rate, without hospitalization, less cost.