摘要
目的阐明宫颈上皮内廇变（Cervical intraepithelial neoplasia,CIN）诊治过程中阴道镜活检及电圈切除术（Loop electrosurgical excision procedure,LEEP）术后二次病理检查的必要性。方法经阴道镜下活检病理诊断为CINⅠ-Ⅲ患者105例,予LEEP治疗,分析阴道镜活检病理与LEEP术后的病理结果。结果 LEEP术后病理诊断与阴道镜下活检病理诊断相符者70例,占66.67%（70/105）,不相符者35例,占33.33%（35/105）,其中病理级别上升18例,占17.4%（18/105）,诊断降低17例,占16.19%（17/105）。结论在诊治CIN中LEEP术病理结果与阴道镜下活检病理结果仍有一定的差异,最终诊断以病理诊断级别高者为准;LEEP术有诊断及治疗双重作用,在CIN诊治过程中LEEP是一种理想的手段。
Objective To clarify the clinical significance of the second pathological examination of colposcopic biopsy and 1oop electrosurgical excision procedure（LEEP） in the diagnosis and treatment of cervical intraepithelial neoplasia（CIN）.Methods 105 cases of CINⅠ~Ⅲ diagnosed by colposcopic biopsy were treated by LEEP.The pathological results of colposcopy biopsy and LEEP were analyzed.Results The pathology of LEEP and colposcopy biopsy in 70 cases was consistent,accounting for 66.67%（70/105）.The pathology in 35 cases were not in consistence（33.33%,35/105）,including 18 cases of upgradation（17.14%,18/105）,and 17 cases of downgradation（16.19%,17/105）.Conclusion There are still some difference of pathological results between LEEP and colposcopic biopsy in the diagnosis and treatment of CIN.The final diagnosis should be based on the higher level detected.LEEP has the dual role of diagnosis and treatment for CIN,thus serving as a more ideal treatment for CIN.
出处
《海南医学》
CAS
2011年第16期129-131,共3页
Hainan Medical Journal
关键词
子宫颈上皮内瘤变
电圈切除术
病理检查
Cervical intraepithelial neoplasia（CIN）
Loop electrosurgical excision procedure（LEEP）
Pathological examination
