论文部分内容阅读
目的评价高频电波刀行电圈切除术(LEEP)治疗宫颈病变中的临床应用价值。方法分析182例LEEP治疗宫颈病变的临床资料。所有患者均在宫颈病变外缘5 mm进出电极,均行宫颈涂片、阴道镜下多点活检和LEEP术后病理诊断,同时观察手术时间、手术出血量及术后疗效。结果LEEP手术治疗宫颈疾病一次成功率为98.02%,平均手术时间6.2 min,出血量5.6 ml,无继发性出血和感染的发生,手术标本经病理学检查明确诊断。结论LEEP治疗各类宫颈疾病操作简单,安全,省时,出血少,术后阴道排液少,治疗效果佳,且可提供完整的病理标本,对宫颈微小浸润癌和原位癌的早期诊断价值高。
Objective To evaluate the clinical value of high frequency electrosurgical excision (LEEP) in the treatment of cervical lesions. Methods The clinical data of 182 cases of cervical lesions treated with LEEP were analyzed. All patients were in and out of the edge of cervical lesions 5 mm into and out of the electrode, both underwent cervical smears, multiple biopsies under colposcopy and LEEP postoperative pathological diagnosis, while observation of operative time, surgical bleeding and postoperative efficacy. Results The success rate of LEEP in the treatment of cervical diseases was 98.02%. The average operation time was 6.2 min and the amount of bleeding was 5.6 ml. There was no secondary hemorrhage and infection. The surgical specimens were diagnosed by pathological examination. Conclusions LEEP is a simple, safe, time-saving method with less bleeding, less postoperative vaginal discharge and good curative effect, and can provide complete pathological specimens for the early diagnosis of cervical micro-invasive carcinoma and carcinoma in situ high.