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目的:评价子宫颈电圈切除术(LEEP)在宫颈上皮内瘤变(CIN)诊治与管理中的应用价值。方法:回顾性分析实施LEEP治疗的79例CIN患者,对比其病理结果、术中出血、术后粘连等并发症的发生以及随访中病变的消长情况。结果:①79例CIN患者中25～36岁占54.43%;术中平均出血量为15.26ml;术后宫颈粘连、红线反应等并发症发生率为2.5%。②LEEP术后病理诊断升级5例占6.3%,术后标本仍有CIN存在18例占22.8%;LEEP组织标本不影响病理诊断,且具有弥补细胞学和阴道镜活检诊断治疗宫颈病变不足的优点。③治疗结局以病变的自然消退为主,占88.6%。结论:LEEP在宫颈上皮内瘤变的诊治与随访管理中具有重要的临床应用价值。
Objective: To evaluate the value of LEEP in the diagnosis and management of cervical intraepithelial neoplasia (CIN). Methods: A total of 79 patients with CIN who underwent LEEP treatment were retrospectively analyzed. The pathological findings, intraoperative bleeding, postoperative adhesions and other complications were observed and compared. Results: ①79 cases of CIN patients accounted for 54.43% 25-36 years old. The average blood loss during operation was 15.26ml. The incidence of postoperative cervical adhesions and red line reaction was 2.5%. ②EEP postoperative pathological diagnosis upgrade in 5 cases accounted for 6.3%, postoperative CIN still exists in 18 cases accounted for 22.8%; LEEP tissue specimens do not affect the pathological diagnosis, and to make up cytology and colposcopy biopsy diagnosis and treatment of cervical lesions advantages. ③ treatment outcome to the natural regression of the lesions, accounting for 88.6%. Conclusions: LEEP has important clinical value in the diagnosis and management of cervical intraepithelial neoplasia.