CAJ | 학술논문

目的：探讨阴道镜联合LEEP刀治疗宫颈癌前病变的临床疗效。方法对我院自2008年3月~2013年9月间收治的经阴道镜下病理活检诊断为宫颈癌前病变的、具有LEEP手术指征的96例患者实施阴道镜下LEEP手术，观察患者的平均手术时间、术中平均出血量，并分析阴道镜下病理诊断与LEEP术后诊断的符合率。结果96例患者的平均手术时间(6±0.9)min，术中平均出血量为(11.3±2.6)mL，阴道镜下病理诊断与LEEP术后诊断的符合率为91.7%(88/96)；96例患者在术后3个月复查时，TCT检查转阴率97.9%(94/96)，6个月后100%。结论阴道镜联合LEEP治疗宫颈癌前病变临床效果显著，且创伤小，出血少，时间短，可有效切除病变部位，避免过度医疗或治疗不足，提高了医疗资源的临床利用率，值得推广。
목적：탐토음도경연합LEEP도치료궁경암전병변적림상료효。방법대아원자2008년3월~2013년9월간수치적경음도경하병리활검진단위궁경암전병변적、구유LEEP수술지정적96례환자실시음도경하LEEP수술，관찰환자적평균수술시간、술중평균출혈량，병분석음도경하병리진단여LEEP술후진단적부합솔。결과96례환자적평균수술시간(6±0.9)min，술중평균출혈량위(11.3±2.6)mL，음도경하병리진단여LEEP술후진단적부합솔위91.7%(88/96)；96례환자재술후3개월복사시，TCT검사전음솔97.9%(94/96)，6개월후100%。결론음도경연합LEEP치료궁경암전병변림상효과현저，차창상소，출혈소，시간단，가유효절제병변부위，피면과도의료혹치료불족，제고료의료자원적림상이용솔，치득추엄。
Objective To explore the effect of colposcopy and LEEP in the treatment of cervical precancerous lesions. Methods A total of 96 patients with cervical precancerous lesions by biopsy directed under colposcopy were operated on by LEEP directed under colposcopy,the average operation time and the average blood loss,the diagnostic accuracy between biopsy directed under colposcopy and LEEP directed under colposcopy were compared. Results The average operation time was (6±0.9)min and the average blood loss was (11.3±2.6)mL.Among 96 cases,88 colposcopic biopsy cases had the same histopathology with LEEP biopsies. Among 96 cases who were followed up by TCT three months later,97.9% of the patients showed normal appearance,and it was up to 100% six months after operation. Conclusion Colposcopy combined LEEP has a high clinical value which has small trauma,less bleeding, short time and remove completely,and it is effectively avoided the excessive medical treatment and lack of treatment,so it is worth to popularize.