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目的探讨宫颈环形电切术(LEEP)治疗宫颈疾病的疗效。方法回顾性分析新野县人民医院2008年5月至2011年4月门诊和住院患者经阴道镜活检初步诊断为宫颈病变者164例,所有患者均行LEEP术治疗,记录术中手术时间,术中出血量,术后病理结果,术后宫颈塑形情况。结果 164例患者中宫颈上皮内瘤变(CIN)68例,平均手术时间为7.2(3~16)min,术中出血量平均为10.2(5~34 ml),治愈率为95.6%(65/68),术后宫颈塑形满意率为89.4%(59/68);宫颈良性疾病96例,其中宫颈尖锐湿疣17例,宫颈息肉22例,宫颈肌瘤8例,中重度宫颈糜烂49例。该组平均手术时间为6.8(2.0~14.0)min,术中出血量平均为9.4(3.0~22.0)ml,治愈率为94.9%(91/96),术后宫颈塑形满意率为88.9%(85/96);CIN组与宫颈良性疾病组在平均手术时间、术中出血量、宫颈塑形满意率及治愈率等方面比较差异均无统计学意义(P>0.05)。结论 LEEP术治疗CIN和宫颈良性疾病简单、安全行之有效。
Objective To investigate the efficacy of cervical ring electrosurgical (LEEP) in the treatment of cervical diseases. Methods A retrospective analysis of Xinye County People’s Hospital from May 2008 to April 2011 outpatient and inpatient colposcopic biopsy of the preliminary diagnosis of cervical lesions in 164 cases, all patients underwent LEEP surgery, recording the operation time, intraoperative Bleeding, postoperative pathological findings, postoperative cervical shape. Results Sixty - eight cases with CIN were treated in this study. The mean operative time was 7.2 (3-16) min. The mean amount of bleeding during operation was 10.2 (5 ~ 34 ml) and the cure rate was 95.6% (65 / 68). The satisfactory rate of postoperative cervical molding was 89.4% (59/68). There were 96 cases of cervical benign disease, including 17 cases of cervical condyloma acuminatum, 22 cases of cervical polyp, 8 cases of cervical myoma and 49 cases of moderate and severe cervical erosion. The average operative time was 6.8 (2.0-14.0) min. The mean intraoperative blood loss was 9.4 (3.0-22.0) ml and the cure rate was 94.9% (91/96). The satisfactory rate of postoperative cervical molding was 88.9% There was no significant difference between the CIN group and the benign cervical disease group in terms of average operation time, intraoperative blood loss, cervical shape satisfaction and cure rate (P> 0.05). Conclusion LEEP is a simple and safe method to treat CIN and cervical benign diseases.