摘要
目的探讨宫颈上皮内瘤变的LEEP术治疗策略。方法对2007年4月～2009年4月期间我院828例宫颈上皮内瘤变LEEP标本切缘进行临床病理分析。结果828例宫颈上皮内瘤变LEEP标本中有85例切缘阳性,高度病变组70例,低度病变组15例,内切缘阳性43例,外切缘阳性35例,内、外切缘均阳性7例,HPV阳性组78例,HPV阴性组7例。结论宫颈上皮内瘤变LEEP标本存在10.3%的切缘阳性率,切缘阳性主要存在于高度病变组,随年龄增长,内切缘阳性率增加,切缘阳性与HPV感染显著相关。
Objective To explore the strategy of loop electrosurgical excision procedure （LEEP） for cervical intraepithelial neoplasia（CIN）. Methods Specimen margins of 828 cases that underwent LEEP in our hospital from April 2007 to April 2009 were pathologically analyzed. Results In specimens margins of 828 cases,70 cases showed a high degree of lesion in their margins, 15 a low-grade lesion,43 positive internal excision margin,35 positive external excision and 7 positive internal and external excision margins,78 positive HPV and 7 negative HPV. Conclusion 10.3% of LEEP specimens are positive in their margins,and the majority of these positive margins belong to the high-grade lesion. The positive incidence of the internal excision margin of the specimen increases with age increasing. The positive rate is significantly related to the HPV infection rate.
出处
《中国现代医生》
2010年第3期21-23,共3页
China Modern Doctor
关键词
宫颈上皮内瘤变
LEEP
切缘
Cervical intraepithelial neoplasia
Loop electrosurgical excision procedure
Margin of specimen
