当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
9期
71-73
,共3页
宫颈上皮内瘤变%宫颈电热圈环切术%临床价值
宮頸上皮內瘤變%宮頸電熱圈環切術%臨床價值
궁경상피내류변%궁경전열권배절술%림상개치
Cervical intraepithelial neoplasia%Loop electrosurgical excision procedure%Clinical value
目的：研究宫颈电热圈环切术(Loop Eelectrosurgical Excision Procedure，LEEP)治疗宫颈上皮内瘤变的临床价值。方法选择2009年3月～2012年3月广东省佛山市顺德区第一人民医院收治的139例经阴道镜活检显示为宫颈上皮内瘤变的患者进行研究。分别采用环状浅凹形切除和环状深凹形切除两种LEEP的手术对患者进行治疗，对LEEP术后病理诊断与术前阴道镜活检诊断结果进行比较分析，并且记录分析手术情况及术后的情况。结果术后发现，LEEP术后病理结果与术前阴道镜活检完全符合的病例数为43例，不符合的有96例，其中病情加重为10例，病情减轻为86例。阴道镜活检对CIN的诊断率为99.3%。对于宫颈上皮内瘤变的诊断，LEEP术后病理结果与术前阴道镜诊断的结果差异无统计学意义。采用环状浅凹形切除的LEEP术患者的手术时间为5～39 min，平均为（10.1±2.4）min，术中出血量为7～59 ml，平均为（12.1±2.2）ml。采用环状深凹形切除的LEEP术患者的手术时间为6～35 min，平均为（9.2±2.1）min，术中出血量为4～55 ml，平均为（12.1±2.2）ml。术后，患者中治愈的有135例，治愈率为97.1%。结论 LEEP治疗宫颈上皮内瘤变的临床价值较高。
目的：研究宮頸電熱圈環切術(Loop Eelectrosurgical Excision Procedure，LEEP)治療宮頸上皮內瘤變的臨床價值。方法選擇2009年3月～2012年3月廣東省彿山市順德區第一人民醫院收治的139例經陰道鏡活檢顯示為宮頸上皮內瘤變的患者進行研究。分彆採用環狀淺凹形切除和環狀深凹形切除兩種LEEP的手術對患者進行治療，對LEEP術後病理診斷與術前陰道鏡活檢診斷結果進行比較分析，併且記錄分析手術情況及術後的情況。結果術後髮現，LEEP術後病理結果與術前陰道鏡活檢完全符閤的病例數為43例，不符閤的有96例，其中病情加重為10例，病情減輕為86例。陰道鏡活檢對CIN的診斷率為99.3%。對于宮頸上皮內瘤變的診斷，LEEP術後病理結果與術前陰道鏡診斷的結果差異無統計學意義。採用環狀淺凹形切除的LEEP術患者的手術時間為5～39 min，平均為（10.1±2.4）min，術中齣血量為7～59 ml，平均為（12.1±2.2）ml。採用環狀深凹形切除的LEEP術患者的手術時間為6～35 min，平均為（9.2±2.1）min，術中齣血量為4～55 ml，平均為（12.1±2.2）ml。術後，患者中治愈的有135例，治愈率為97.1%。結論 LEEP治療宮頸上皮內瘤變的臨床價值較高。
목적：연구궁경전열권배절술(Loop Eelectrosurgical Excision Procedure，LEEP)치료궁경상피내류변적림상개치。방법선택2009년3월～2012년3월광동성불산시순덕구제일인민의원수치적139례경음도경활검현시위궁경상피내류변적환자진행연구。분별채용배상천요형절제화배상심요형절제량충LEEP적수술대환자진행치료，대LEEP술후병리진단여술전음도경활검진단결과진행비교분석，병차기록분석수술정황급술후적정황。결과술후발현，LEEP술후병리결과여술전음도경활검완전부합적병례수위43례，불부합적유96례，기중병정가중위10례，병정감경위86례。음도경활검대CIN적진단솔위99.3%。대우궁경상피내류변적진단，LEEP술후병리결과여술전음도경진단적결과차이무통계학의의。채용배상천요형절제적LEEP술환자적수술시간위5～39 min，평균위（10.1±2.4）min，술중출혈량위7～59 ml，평균위（12.1±2.2）ml。채용배상심요형절제적LEEP술환자적수술시간위6～35 min，평균위（9.2±2.1）min，술중출혈량위4～55 ml，평균위（12.1±2.2）ml。술후，환자중치유적유135례，치유솔위97.1%。결론 LEEP치료궁경상피내류변적림상개치교고。
Objective To study the clinical value of the loop electrosurgical excision procedure (LEEP) in cervical intraepithelial neoplasia. Method 139 cases of colposcopy biopsy showed the patients with cervical intraepithelial neoplasia from March 2009 to March 2012 in the hospital were studied.The patients were treated with annular shallow concave resection and deep concave annular with two kinds of LEEP surgery, pathological diagnosis and preoperative colposcopy biopsy results were compared, and surgical and postoperative case were recorded and analyzed. Results After the postoperation, the pathological and the preoperative colposcopy biopsy in full compliance with the number of cases was 43 cases, 96 cases did not meet, 10 cases aggravated, 86 cases improved. Colposcopy biopsy diagnosis of cervical intraepithelial neoplasia was 99.3%. For the diagnosis of cervical intraepithelial neoplasia results with the preoperative colposcopy LEEP postoperative pathological diagnosis was no signiifcant difference. LEEP surgery patients using annular shallow concave resection operation time was 5-39 min, with an average (10.1±2.4) min, intraoperative blood loss was 7-59 ml, on average, (12.1±2.2) ml. LEEP surgery patients using deep concave annular resection operation time was 6-35 min, with an average (9.2±2.1) min, intraoperative blood loss in 4-55 ml, on average, (12.1±2.2) ml. After surgery, patients with 135 cases of healing, the cure rate was 97.1%. Conclusion The clinical value of the LEEP in treatment to cervical intraepithelial neoplasia has higher value.
