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宫颈环形电切术治疗宫颈上皮内瘤变的临床分析

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摘要 目的探讨宫颈环形电切术在治疗宫颈上皮内瘤变中的应用价值。方法回顾性收集2006年1月至2008年1月清远市妇幼保健院收治的,经细胞学、阴道镜定位活检后病理明确诊断宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)病例138例,其中接受高频电波刀宫颈环状切除术(LEEP)治疗有53人。对行LEEP环切治疗CIN患者的疗效和术后复发情况进行分析。结果53例LEEP环切治疗CIN随诊中有2例残留及复发。治疗有效率为96.2%。术后6个月复查新柏氏薄层液基细胞学检查(ThinPrep Cytology Test,TCT)有2例异常,2例人乳头瘤病毒(HPV)感染,此2例予阴道镜检查且活检确认均为CINⅡ,HPV阴性率为94.3%,治愈率为96.2%,12个月复查TCT1例异常,HPV阴性率为98.1%,治愈率为98.1%。结论LEEP环切可对CIN进行有效治疗,控制CIN向宫颈癌的转化,是临床诊断高级别CIN的重要手段。
出处 《国际医药卫生导报》 2009年第7期44-46,共3页 International Medicine and Health Guidance News
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