CAJ | 학술논문

目的:探讨宫颈环形电切除术(LEEP)治疗宫颈上皮内瘤变(CIN)的临床价值.方法:对经阴道镜下宫颈活检诊断为CIN的155例患者采用LEEP宫颈锥切,观察手术时间、出血量,比较术前宫颈活检与术后病理检查结果,随访疗效和宫颈塑形情况.结果:LEEP治疗CIN平均时间6.8分钟,出血量9.6 ml,阴道镜下宫颈活检的CIN Ⅰ、CIN Ⅱ、CIN Ⅲ与LEEP术后标本的病理诊断CIN Ⅰ、CIN Ⅱ、CINⅢ呈正相关,相关系数r_0=0.785(P<0.01),治愈率为98.7%(149/151),151例中宫颈塑形满意134例(88.7%).结论:LEEP是诊断和治疗CIN安全有效的方法.
목적:탐토궁경배형전절제술(LEEP)치료궁경상피내류변(CIN)적림상개치.방법:대경음도경하궁경활검진단위CIN적155례환자채용LEEP궁경추절,관찰수술시간、출혈량,비교술전궁경활검여술후병리검사결과,수방료효화궁경소형정황.결과:LEEP치료CIN평균시간6.8분종,출혈량9.6 ml,음도경하궁경활검적CIN Ⅰ、CIN Ⅱ、CIN Ⅲ여LEEP술후표본적병리진단CIN Ⅰ、CIN Ⅱ、CINⅢ정정상관,상관계수r_0=0.785(P<0.01),치유솔위98.7%(149/151),151례중궁경소형만의134례(88.7%).결론:LEEP시진단화치료CIN안전유효적방법.
Objective:To study the effectiveness of Loop electrosurgical excision procedure (LEEP) in the diagnosis and management of cervical intraepithelial neoplasia(CIN). Methods: 155 patients with CIN were diagnosed by cervical biopsy under colposcopy. All cases were treated with LEEP and the operative time, bleeding volume, cervical biopsy results before and after LEEP were evaluated, and the effects and cervical regeneration were followed up. Results: The mean operative time of LEEP was 6. 8 minutes. The mean bleeding volume was 9.6m1. Pathological diagnosis of CINI CIN Ⅱ CIN Ⅲ after LEEP were positively correlated to directed biopsy by colposcopy. The correlation coefficient was 0.785 ( P < 0.01). The cure rate of LEEP was 98.6%. Among the 151 cases, 134 (88. 7%) were satisfactory cervical regeneration. Conclusions: LEEP is one of the effective and safe methods for the diagnosis and treatment of CIN.