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目的对阴道镜下定位活检、宫颈环形电切术(LEEP)在子宫颈上皮内瘤变(CIN)诊治中的应用价值进行探讨,提出有效检出宫颈癌前病变的措施。方法对经阴道镜活检病理诊断为CINⅡ级、CINⅢ级以及不排除宫颈癌的135例患者的临床资料进行回顾性分析,总结发病年龄、临床表现等特点,并将阴道镜活检病理和LEEP手术病理结果进行比较。结果患者宫颈CIN的发病高峰年龄段为31～35(39/135,28.9%)岁,无症状要求检查的有65例(48.1%),132例LEEP病理与阴道镜活检病理比较,诊断相符83例(62.9%),不相符49例(37.1%)。结论要重视对年轻高危人群的筛查,对不满意的阴道镜检查即宫颈移行带不能完全暴露或病灶较大的患者,可通过增加活检数量、应用LEEP锥切术等办法提高宫颈病变诊断的准确性。
Objective To investigate the value of colposcopy biopsy and cervical ring electrosurgical excision (LEEP) in the diagnosis and treatment of cervical intraepithelial neoplasia (CIN), and put forward the effective measures to detect cervical precancerous lesions. Methods The clinical data of 135 patients diagnosed by colposcopy biopsy as CIN Ⅱ, CIN Ⅲ and without cervical cancer were retrospectively analyzed. The age of onset, clinical manifestations and other characteristics were summarized. Colposcopic biopsy and LEEP surgical pathology The results are compared. Results The peak incidence of cervical CIN was 31-35 (39 / 135,28.9%) years old, 65 cases (48.1%) were asymptomatic, and 132 cases were pathologically colposcopic colposcopy compared with colposcopy biopsy Cases (62.9%), does not match 49 cases (37.1%). Conclusions We should pay more attention to the screening of young people at high risk. For patients who are dissatisfied with colposcopy, which can not be fully exposed or with large lesions, the number of biopsy can be increased, and LEEP conization can be used to improve the diagnosis of cervical lesions accuracy.