CAJ | 학술논문

目的探讨宫颈环形电切术(LEEP)术后病检与阴道镜下活检在诊断宫颈上皮内瘤样变(CIN)中的临床意义.方法对妇科门诊阴道镜下诊断为CIN患者130例,再行LEEP术,比较其病理结果的差异.结果阴道镜下活检结果CIN Ⅰ级、CINⅡ级、CINⅢ级(不包括原位癌)与LEEP术后病检结果符合率分别为55.26%、66.10%、78.79%,总符合率为66.15%.阴道镜下活检对诊断CINⅢ级的准确性要高于CIN Ⅰ级和CINⅡ级,但两者相比较差异无显著性(P0.05).结论阴道镜下活检可取得对宫颈病变首次的病理结果,具有局限性;而LEEP可弥补阴道镜下活检的缺陷,在明确诊断CIN中,LEEP术与阴道镜下活检可互为补充,且有治疗作用.
목적 탐토궁경배형전절술(LEEP)술후병검여음도경하활검재진단궁경상피내류양변(CIN)중적림상의의.방법 대부과문진음도경하진단위CIN환자130례,재행LEEP술,비교기병리결과적차이.결과 음도경하활검결과CIN Ⅰ급、CINⅡ급、CINⅢ급(불포괄원위암)여LEEP술후병검결과부합솔분별위55.26%、66.10%、78.79%,총부합솔위66.15%.음도경하활검대진단CINⅢ급적준학성요고우CIN Ⅰ급화CINⅡ급,단량자상비교차이무현저성(P0.05).결론 음도경하활검가취득대궁경병변수차적병리결과,구유국한성;이LEEP가미보음도경하활검적결함,재명학진단CIN중,LEEP술여음도경하활검가호위보충,차유치료작용.
Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.