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目的:探讨宫颈电圈环切术(LEEP)在诊治宫颈病变中的作用。方法:对2007-11/2008-11进行宫颈环切治疗的良性病变760例的资料进行回顾性分析。结果:宫颈环切治疗总治愈率达96.32%,术后并发症的发生率为11.56%,其中,大出血66例,术后盆腔疼痛35例,宫颈粘连4例。重度宫颈糜烂的治愈率显著低于轻中度宫颈糜烂,P<0.01。术前术后病理符合率78.42%(571/760)。结论:宫颈环切术是治疗宫颈病变安全有效的方法,操作简单,安全高效,并可保留生育能力值得推广。
Objective: To investigate the role of cervical electrosurgery (LEEP) in the diagnosis and treatment of cervical lesions. Methods: A retrospective analysis was performed on the data of 760 patients with benign lesions treated by cervical circumcision between November 2007 and November 2008. Results: The total cure rate of cervical circumcision was 96.32%. The incidence of postoperative complications was 11.56%. Among them, 66 cases were major bleeding, pelvic pain in 35 cases and 4 cases of cervical adhesion. The cure rate of severe cervical erosion was significantly lower than mild to moderate cervical erosion, P <0.01. The preoperative and postoperative pathological coincidence rate was 78.42% (571/760). Conclusion: Cervical circumcision is a safe and effective method for the treatment of cervical lesions. It is easy to operate, safe and effective, and it is worth to promote fertility.