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目的 LEEP治疗宫颈上皮内瘤变的可行性。方法对经阴道脱落细胞学检查及阴道镜下可疑部位活检病理诊断为CINI-CINⅢ级的患者,使用LEEP将病变宫颈锥形切除,观察手术时间和出血量,比较手术前后病理结果,随访疗效和宫颈创面恢复情况。结果 LEEP治疗CIN平均时间为3.5分钟,出血量平均8.6ml,手术前后病理诊断符合率78.7%,治愈率为97.3%,113例中有109例宫颈创面愈合满意(96.4%)。结论 LEEP是诊断和治疗CIN安全有效的方法,具有手术时间短、患者痛苦小、出血少、恢复快、一次性治愈率高、不需住院、费用低等优势,且操作简单,不需特殊麻醉,值得在基层医院推广,但术后要加强随访。
Objective LEEP treatment of cervical intraepithelial neoplasia feasibility. Methods For patients with clinically diagnosed CINI-CIN grade Ⅲ undergoing colposcopic vaginal cytology and colposcopic biopsy, LEEP was used to excise the cervical conical lesions and observe the operation time and bleeding volume. The pathological results were compared between the two groups Cervical wound recovery. Results The average duration of CIN in LEEP treatment was 3.5 minutes. The average amount of bleeding was 8.6ml. The coincidence rate of pathological diagnosis before and after operation was 78.7%. The cure rate was 97.3%. The healing rate of 109 cases of cervical wound was satisfactory (96.4%) in 113 cases. Conclusions LEEP is a safe and effective method for the diagnosis and treatment of CIN. It has the advantages of short operation time, less pain, less bleeding, faster recovery, higher one-time cure rate, less hospitalization, lower cost and simple operation without special anesthesia , It is worth to promote in the primary hospital, but to strengthen follow-up after surgery.