摘要
目的对宫颈上皮内瘤变患者在LEEP术后转归的影响因素进行探讨分析。方法回顾性分析内蒙古医科大学附属医院妇产科2008年1月至2010年12月,219例行LEEP手术的CIN患者,随访1年以上,收集所有相关资料,并进行单因素和多因素Logistic回归分析。结果多因素分析显示年龄≥50岁、高危HPV持续感染和LEEP术后标本切缘阳性、病变累及宫颈腺体是LEEP术后病灶复发的独立危险因素。结论 CIN患者经LEEP治疗前HR-HPV多重感染者治疗后复发率明显增高。年龄≥50岁、切缘阳性、高危HPV持续感染,累及腺体是影响LEEP术后CIN患者转归的危险因素。
Objective The aim of this study is to investigate the dangerous factors that would affect the outcomes of cervical intraepithelial neoplasia （CIN） after LEEP.Methods Data of 219 CIN patients treated by LEEP from January 2008 to December 2010 in our-hospital were retrospectively analyzed, the follow-up time was more than 1 year.Results Multi-factor logistic regression analysis showed that the independent dangerous factors leading to postoperative recurrence were as follows： age more than 50 years old, persistent infection of high-risk HPV, positive margin of conization specimen as well as lesions involving gland of cervical gland.Conclusion Preoperative infection with multiple HPV types was the most dangerous factor which lead to high risk of recurrence.
出处
《中国妇产科临床杂志》
2013年第1期14-16,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
宫颈上皮内瘤变
LEEP术
转归
相关因素
cervical intraepithelial neoplasia
loop electrosurgical excision procedure
outcome
relevant factors
