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目的 探讨高频电波刀行电圈切除 (LEEP)治疗宫颈病变的临床效果及应用价值。方法 对2 32例 (其中 12 5例为CIN)LEEP治疗的宫颈病变患者进行回顾性分析。所有病例均行阴道镜下多点活检和LEEP术后病理诊断 ,在炎症和赘生物病变外缘 3mm进出电极 ,对于CIN和HPV感染患者 ,电极在病变边缘外 5mm进出。结果 LEEP治疗的宫颈病变治愈率为 96 98% ,CIN残留率和复发率低 ,分别为 2 4 0 %( 3/12 5 )和 1 6 0 % ( 2 /12 5 )。阴道镜下多点活检和LEEP术标本的病理诊断比较 ,差异有显著意义 (P <0 0 5 )。结论 LEEP对炎症、损伤、癌前病变、HPV感染等宫颈病变是一种非常理想的诊断、治疗手段
Objective To investigate the clinical effect and application value of high frequency electrosurgical excision (LEEP) in the treatment of cervical lesions. Methods A retrospective analysis was performed on patients with cervical lesions treated with LEEP in 3232 patients (125 of them were CIN). All cases underwent colposcopy biopsy and LEEP postoperative pathological diagnosis, inflammation and neoplasm lesions in the outer edge of 3mm into the electrode, for CIN and HPV infection, the electrode in and out of the edge of the lesion 5mm. Results The cure rate of cervical lesions treated by LEEP was 96 98%. The residual rate of CIN and the recurrence rate were low, which were 240% (3/125) and 160% (2/125) respectively. Colposcopic multipoint biopsy and LEEP specimens pathological diagnosis, the difference was significant (P <0 05). Conclusions LEEP is an ideal diagnostic and therapeutic tool for cervical lesions such as inflammation, injury, precancerous lesions and HPV infection