CAJ | 학술논문

目的：探讨宫颈电环切术(LEEP)诊治宫颈上皮内瘤变(CIN)的可行性，疗效及术后复发情况。方法：回顾性分析经阴道镜活检明确为CIN者99例行LEEP术的诊治资料。结果：LEEP治疗CIN平均时间6.5±2.3min，术中出血量平均8.5±3.5ml，4例术后阴道出血较多，经治疗后好转。病理降级33例(33.33%),等级60例(60.61%),升级6例(6.06%)。LEEP术一次治疗有效率达97.98%（97/99），2例LEEP术后复发。结论：LEEP术治疗CIN安全有效,并发症少，且能在治疗宫颈病变的同时诊断出更高级别病变,弥补阴道镜点活检诊断的不足，但是术后随诊非常重要。
목적：탐토궁경전배절술(LEEP)진치궁경상피내류변(CIN)적가행성，료효급술후복발정황。방법：회고성분석경음도경활검명학위CIN자99례행LEEP술적진치자료。결과：LEEP치료CIN평균시간6.5±2.3min，술중출혈량평균8.5±3.5ml，4례술후음도출혈교다，경치료후호전。병리강급33례(33.33%),등급60례(60.61%),승급6례(6.06%)。LEEP술일차치료유효솔체97.98%（97/99），2례LEEP술후복발。결론：LEEP술치료CIN안전유효,병발증소，차능재치료궁경병변적동시진단출경고급별병변,미보음도경점활검진단적불족，단시술후수진비상중요。
Objective:To study the feasibility, efficacy and postoperative recurrence of loop electrosurgical exci-sion procedure (LEEP) in the diagnosis and management of cervical intraepithelial neoplasia (CIN). Methods:Retro-spectively studied 99 patients undergoing LEEP because of CIN after biopsy under colposcopy treatment.Results:The mean operative time was 6.5 min, average blood loss was 8.5ml, 4 cases occurred more postoperative vaginal bleeding, but improved after treatment. Histologic findings revealed that 33 cases (33.33%)CIN was grade lowed,60cases (60.61%)CIN grade was remained the same and 6 cases (6.06%)CIN grade was gone up. LEEP once treatment effi-ciency is 97.98%(97/99), 2 patients relapsed. Conclusion:LEEP is a kind of safe and effective method for treatment of CIN with few complications, in addition, it can make the diagnosis of a higher level to make up for the lack of colpo-scopic biopsy diagnosis. But the postoperative follow-up is very important.