摘要
目的探讨子宫颈环形电刀切除术(LEEP)治疗宫颈上皮内瘤样变(CIN)的手术方法、术后并发症的预防和处理及治疗价值。方法分析回顾采用LEEP对100例宫颈上皮内瘤样变(CIN)患者进行宫颈环形电切术的治疗情况。结果术后96例(96%)标本切缘未见CIN病变。术后病理诊断为:宫颈黏膜慢性炎症2例(2%),CINⅠ16例(16%),CINⅡ59例(59%),CINⅢ18例(18%),原位癌累及腺体伴早期浸润癌5例(5%);术后病理诊断级别下降者10例(10%),等级者83例(83%),升级者7例(7%)。结论 LEEP治疗CIN安全有效、简单易行、并发症少,只要掌握手术指征,规范手术方法,注意术后病理观察,即可取得满意疗效,但术后仍需定期随访防止宫颈癌的发生和发展。
【Objective】 To probe the surgical method,postoperative complications,prevention and treat-ment and therapeutic value of the cervical loop electrosurgical excision procedure（LEEP） for cervical intraep-ithelial neoplasia（CIN）.【Methods】Retrospective review of 100 cervical intraepithelial neoplasia（CIN） patients with LEEP,cervical loop elect rosurgical excision procedure of the therapy.【Results】96 cases of postopera-tive patients（96%） specimen edge no CIN lesions.Pathological diagnosis was： chronic inflammation of cervical mucosa in 2 cases（2%）,CIN 16 patients（16%）,CIN Ⅱ 59 patients（59%）,CIN Ⅲ 18 patients（18%）,carci-noma in situ involving the gland with early carcinoma in 5 cases（5%）;Decreased level of pathological diag-nosis in 10 cases（10%）,grade were 83 patients（83%）,upgraded in 7 patients（7%）.【Conclusion】LEEP treatment of CIN is safe and effective,simple,less complications,as long as the master surgical indications standardize the surgical approach,attention to pathological observation,a satisfied effect could be achieved,but patients still need regular follow-up to prevent cervical cancer and development.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第11期1419-1421,共3页
China Journal of Modern Medicine
关键词
子宫颈电环切术
宫颈上皮内瘤样变
治疗
cervical loop electrosurgical excision procedure
cervical intraepithelial neoplasia
treatment
