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目的:探讨阴道镜联合子宫颈电热圈环切术(LEEP)在诊治宫颈病变中的临床意义。方法:对2004年1月~2007年12月在该院门诊接受阴道镜联合LEEP治疗宫颈病变的170例患者的临床病理资料做一回顾性分析。结果:术前术后病理诊断一致者占64.4%,术后级别下降者占30.8%,术后级别上升者占4.8%,术前阴道镜对CIN的漏诊率为6.1%;LEEP治疗慢性宫颈炎、CINⅠ及CINⅡ治愈率100.0%,无1例发生大出血及其它并发症。结论:阴道镜联合LEEP治疗宫颈病变疗效显著,是行之有效非常理想的诊治手段,值得临床进一步推广使用。
Objective: To investigate the clinical significance of colposcopy combined with cervical ring electrotomy (LEEP) in the diagnosis and treatment of cervical lesions. Methods: A retrospective analysis was performed on the clinical and pathological data of 170 patients who underwent colposcopy combined with LEEP in the outpatient department from January 2004 to December 2007. Results: Preoperative and postoperative pathological diagnosis accounted for 64.4%, postoperative grade decreased 30.8%, postoperative grade accounted for 4.8%, preoperative colposcopy missed diagnosis of CIN was 6.1%; LEEP treatment of chronic cervicitis , CIN Ⅰ and CIN Ⅱ cure rate was 100.0%, no bleeding occurred in 1 case and other complications. Conclusion: Colposcopy combined with LEEP in the treatment of cervical lesions has significant curative effect and is a very effective diagnosis and treatment tool, which is worth further promotion in clinic.