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目的探讨高频电波刀(LEEP)联合阴道镜下活检在诊治宫颈组织上皮内瘤样病变(CIN)中的价值。方法对阴道镜下活检诊断为宫颈上皮内瘤变的52例患者的临床病例资料进行回顾性分析,了解LEEP术后病理检查和阴道镜下活检诊断的一致性,LEEP治疗的效果。结果手术顺利,术中平均出血量为(5.68±1.32)ml,平均手术时间为(4.9±1.1)min;术前、术后病理符合率65.4%,术后病理级别下降19.2%,病理级别上升15.4%。结论 LEEP是诊断和治疗宫颈上皮内瘤病的有效方法,操作简单,损伤小,恢复快,手术成功率高,值得临床推广应用。
Objective To investigate the value of high frequency electrosurgical knife (LEEP) combined with colposcopic biopsy in the diagnosis and treatment of cervical intraepithelial neoplasia (CIN). Methods The clinical data of 52 cases diagnosed as cervical intraepithelial neoplasia by colposcopy biopsy were analyzed retrospectively to find out the consistency between LEEP pathological examination and colposcopic biopsy and the effect of LEEP treatment. Results The average operation time was (5.68 ± 1.32) ml and the mean operative time was (4.9 ± 1.1) min. The preoperative and postoperative pathological coincidence rates were 65.4%, the postoperative pathological grade decreased 19.2% and the pathological grade increased 15.4%. Conclusions LEEP is an effective method for diagnosis and treatment of cervical intraepithelial neoplasia. It is simple in operation, less in injury, faster in recovery and more successful in operation. It is worthy of clinical application.