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目的探讨子宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变(CIN)的临床效果。方法回顾2006年8月至2009年9月在驻马店市妇幼保健所妇科门诊诊断为CIN的部分患者进行LEEP治疗,随访3年,并观察术前阴道镜活检,术中情况,术后病检及治疗效果。结果①术中出血平均13.2ml,患者反应轻;②术前术后宫颈组织病理检查符合率:CINI95.24%CINII75%CINIII50%;③对140例患者随访,术后6个月治愈率97.14%。其中CINI98.32%CINII93.75%CINIII80%,术后1年复发率1.25%。结论 LEEP治疗CIN安全、有效,创伤小,并发症少,治愈率高,复发率低。
Objective To investigate the clinical effect of cervical ring excision (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN). Methods From August 2006 to September 2009, LEEP was performed in some patients diagnosed as CIN in the gynecology outpatient department of MCH in Zhumadian City. The patients were followed up for 3 years and the results of preoperative colposcopy biopsy, intraoperative examination, postoperative examination and treatment effect. Results ① The average intraoperative bleeding was 13.2ml, the response was mild. ② The coincidence rate of cervical histopathology before operation and postoperative was CINI 95.24%, CINII75% CINIII50% .③The follow-up of 140 patients was 97.14% . Including CINI98.32% CINII93.75% CINIII80%, 1 year after the recurrence rate of 1.25%. Conclusion LEEP is safe and effective in treating CIN with less trauma, less complications, high cure rate and low recurrence rate.