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目的通过宫颈环形电切术(LEEP)对阴道镜活检诊断为宫颈上皮内瘤变(C IN)的准确性和全面性进行评估。方法对118例阴道镜活检诊断为C IN的患者行LEEP,对比术前术后的病理结果。结果32例阴道镜活检病理为C INⅠ级病例中有11例与LEEP术病理相符,6例LEEP术后病理级别上升,15例LEEP术后病理级别下降;26例阴道镜活检病理C INⅡ级病例中有17例LEEP术后病理示相符,5例LEEP术后病理级别上升,4例LEEP术后病理级别下降;60例阴道镜活检病理为C INⅢ级病例中有44例LEEP术后病理示相符,11例LEEP术后病理级别上升,5例术后病理级别下降。结论LEEP术是明确诊断和治疗C IN的有效而理想的方法,阴道镜活检有一定局限性。
Objective To evaluate the accuracy and comprehensiveness of colposcopy biopsy for cervical intraepithelial neoplasia (CIN) by cervical ring excision (LEEP). Methods One hundred and eighty-eight patients diagnosed as C IN by colposcopy biopsy were performed LEEP, and the pathological results were compared before and after operation. Results Of the 32 cases with colposcopy biopsy, 11 cases of CINⅠcases were consistent with the pathological changes of LEEP, 6 cases of LEEP and 15 cases of LEEP. The pathological grade of LEEP was consistent with that of 17 cases after LEEP in 5 cases. The pathological grade of LEEP after operation in 4 cases was decreased. The pathological grade of LEEP in 4 cases was decreased. The pathology of LEEP in 60 cases with colposcopic biopsy was 44 cases, Eleven cases of LEEP pathological grade increased, five cases of pathological grade decreased. Conclusion LEEP is an effective and ideal method for the diagnosis and treatment of C IN. Colposcopy biopsy has some limitations.