中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
12期
544-544,545
,共2页
宫颈上皮内瘤变%宫颈电环切术%切缘残留
宮頸上皮內瘤變%宮頸電環切術%切緣殘留
궁경상피내류변%궁경전배절술%절연잔류
cervical intraepithelial neoplasia,CIN%loop electrosurgical excision procedure,Leep%positive margin
目的：探讨宫颈上皮内瘤变宫颈电环切术（loop electrosurgical excision procedure, Leep）后病变残留的处理。方法：2010年4月一2013年3月在我院因CIN行Leep的患者中切缘残留22例，无切缘残留195例。分析22例术后病理切缘阳性患者再治疗的临床资料。结果：将22例患者分成随诊组及治疗组，随诊组8例，治疗组14例。随诊组术后监测宫颈细胞学检查及阴道镜检查均阴性，治疗组14例均无复发。结论：Leep后且切缘阳性患者应采取个体化治疗；Leep后病理为浸润癌患者应按浸润癌规范化治疗。
目的：探討宮頸上皮內瘤變宮頸電環切術（loop electrosurgical excision procedure, Leep）後病變殘留的處理。方法：2010年4月一2013年3月在我院因CIN行Leep的患者中切緣殘留22例，無切緣殘留195例。分析22例術後病理切緣暘性患者再治療的臨床資料。結果：將22例患者分成隨診組及治療組，隨診組8例，治療組14例。隨診組術後鑑測宮頸細胞學檢查及陰道鏡檢查均陰性，治療組14例均無複髮。結論：Leep後且切緣暘性患者應採取箇體化治療；Leep後病理為浸潤癌患者應按浸潤癌規範化治療。
목적：탐토궁경상피내류변궁경전배절술（loop electrosurgical excision procedure, Leep）후병변잔류적처리。방법：2010년4월일2013년3월재아원인CIN행Leep적환자중절연잔류22례，무절연잔류195례。분석22례술후병리절연양성환자재치료적림상자료。결과：장22례환자분성수진조급치료조，수진조8례，치료조14례。수진조술후감측궁경세포학검사급음도경검사균음성，치료조14례균무복발。결론：Leep후차절연양성환자응채취개체화치료；Leep후병리위침윤암환자응안침윤암규범화치료。
Objective:To exp]ore on the clinical treatment of residues after CIN conization surgery. Methods:In April 2010 a in March 2013 in our hospital in patients who undergo Leep for CIN cut edge remaining 22 cases, 195 cases cut edge residue. Analysis of 22 patients with postoperative pathologic cut edge positive treatment of the clinical data. Results:The 22 patients were divided into fol ow-up group and treatment group, 8 cases of fol ow-up group, treatment group (14 cases. Postoperative fol ow-up group monitoring cervical cytology and colposcopy examination are negative, 14 cases of treatment group were no recurrence. Conclusion: After Leep and individualized treatment should be taken to cut edge positive patients;After Leep pathology should be normalized by infiltrating carcinoma treatment for invasive cancer patients.
