宫颈环形电切术治疗宫颈上皮内瘤样变118例临床疗效观察.doc

宫颈环形电切术治疗宫颈上皮内瘤样变118例临床疗效观察.doc宫颈环形电切术治疗宫颈上皮内瘤样变118例临床疗效观察摘要:目的:对宫颈环形电切术(LEE卩)治疗宫颈上皮内瘤样变的治疗效果进行观察和比较。方法:应用LEEP对118例宫颈上皮内瘤样变患者进行诊断和治疗,对其疗效及病理检查进行冋顾性分析。结果:LEEP治疗宫颈疾病成功118例(100%),手术时间(?±)min,tij血量(±)ml,术后7例(%)患者出现下腹隐痛、***烧灼感,1例出现大出血;术后病理诊断为:CTNT34例,CINH57例,CTNTIT24例,浸润癌3例;术后病理诊断级别下降者18例,等级者79例,升级者21例。结论:LEEP治疗CIN安全有效、简单易行、并发症少,只要掌握手术指征,规范手术方法,注意术后病理观察,即可取得满意疗效,但术后仍需定期随访,才能有效防止宫颈癌的发生发展。关键词:子宫颈环形电切术;宫颈上皮内瘤样变Abstract:ObjectiveToinvestigatetheclinicalefficacyofcervical1oopelectrosurgicalexcisionprocedure(LEE卩)inthetreatment,-likelesions・(100%)werecuredaftertreatmentofLEEPeTheoperativetimewas(?±)min,thepreoperativebleedingwas(?±)ml,only7patients(%)hadabdominalpainandvaginalburning,:CTNI34patients,CTNII57patients,CINIII24patients,earlycarcinomain3patients;Decreasedleverofpathologicaldiagnosisin18cases,gradewere79cases,,simple,plications,aslongasthemastersurgicalindicationsstandardizethesurgicalapproach,attentiontopathologicalobservation,asatisfiedeffectcouldbeachieved,butpatientsstillneedregularfollow-:loopelectrosurgical