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目的:探讨分析宫颈LEEP术治疗宫颈疾病的安全性和出现并发症的原因及寻找有效的防治措施。方法:回顾性分析自2008年4月～2009年4月因宫颈上皮内瘤变行宫颈LEEP锥切术的患者229例,观察宫颈锥切术中及术后并发症发生情况并分析原因。结果:共发生并发症16例,其中术中出血5例,术后出血8例,宫颈管狭窄、粘连2例,宫颈管肉芽增生1例。结论:宫颈LEEP术治疗宫颈疾病安全可靠,操作方便,创面无需缝合,手术无痛苦,并发症与感染等因素有关,只要掌握手术指征,规范手术步骤,术后密切观察,可减少手术并发症的发生。
Objective: To investigate the safety and complications of cervical LEEP in the treatment of cervical diseases and to find out the effective prevention and treatment measures. Methods: A total of 229 patients with cervical LEEP conization undergoing cervical intraepithelial neoplasia from April 2008 to April 2009 were retrospectively analyzed. The incidence of postoperative complications during and after cervical conization were analyzed and the causes were analyzed. Results: Complications occurred in 16 cases, including 5 cases of intraoperative bleeding, 8 cases of postoperative bleeding, cervical stenosis, adhesions in 2 cases, cervical granuloma hyperplasia in 1 case. Conclusion: Cervical LEEP is a safe and reliable method for cervical diseases. It is easy to operate and does not require suturing. The operation is pain free and complications are related to infection. As long as the indication of the operation, standardized operation procedures and close observation after operation can reduce the complications of the operation happened.