摘要
目的探讨使用高频电波刀作宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变(CIN)的临床价值。方法经宫颈液基薄片细胞学检查(TCT)和阴道镜下活检,病理诊断为CIN232例,行LEEP治疗。术后3个月、6个月～2年常规行TCT追踪随访,异常者再行阴道镜检查及活检。结果术后3个月复查232例,TCT正常者220例(94.83%),异常者12例(5.17%),阴道镜检查宫颈表面出现红斑,活检均为炎性反应或正常宫颈组织;术后6个月复查228例,TCT正常者222例(97.37%),异常者4例(2.63%),阴道镜检查及活检均为炎性反应;术后2年复查172例,TCT阴性170例(98.84%),异常者2例(1.16%),阴道镜检查及活检1例为炎性反应,1例为CINⅠ。结论宫颈环形电切术治疗宫颈上皮内瘤样病变操作简单、安全、成功率高,但要注意病变切除的范围及随访,宫颈环行电切除是治疗CIN有效手段。
Objective To evaluate the loop electrosurgical excision procedure （LEEP） in the treatment of cervical intraep-i.thelial neoplasia （CIN）. Methods 232 patients with CIN diagnosed by cervix liquor tabular cell test（TCT） and biopsy through vaginoscope were operated on by：LEEP, they were follow-up visited by TCT after three months, six months and two years. , those abnormality were re-checked by vaginoscopy and biopsy. Results Among 232 cases who were re-checked three months after operation,220 patients（94, g3% ） showed normal appearance, the other 12 cases （5. 17% ） showed obnormal appearance, cervix uteri surface emerged erythema through colposcopy examination,they were confirmed inflammation or normal cervical tissue; Six months after operation ,228 patients were re-checked, 222 patients （97.37%）showed normal appearance by TCT, four patients （2. 63 % ）showed abnormal appearance, they were all confirmed inflammation by colposcopy examination and biopsy ;Two years after operation 172 patients were re-checked, 170 patients （98.84%）showed normal appearance, two cases （1.16%）showed abnormal appearance by colposcopy examination and biopsy it was confirmed that one case was inflammation, the other was CIN I . Conclusion It is simple, safe and high success ratio to cure CIN by LEEP, but the cut range shuld be attentioned. LEEP is an effective method in curing CIN.
出处
《中国实用医药》
2009年第8期37-39,共3页
China Practical Medicine
关键词
宫颈环形电切术
宫颈上皮内瘤样病变
宫颈液基薄片细胞学检查
Loop electrosurgical excision procedure（LEEP）
Cervical intraepithelial neoplasia（CIN）
Cervix liquor tabular cell test（TCT）
