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目的探讨阴道镜下高频电波刀(LEEP)对诊断及治疗宫颈疾病的临床价值。方法对经妇科检查、宫颈细胞学及电子阴道镜下可疑病变定点活切,病理检验诊断为宫颈良性病变及上皮内瘤变(CIN)Ⅰ～Ⅲ级的837例患者行阴道镜下LEEP手术治疗。观察手术时间、出血量、手术疗效及临床诊断与病理诊断符合率。结果阴道镜下LEEP手术治疗宫颈疾病一次成功率为99.5%,平均手术时间6 min、出血量4.5 ml。2例继发性出血,无术后感染发生。手术标本经病理学检查与术前诊断符合率90.5%。结论阴道镜下LEEP治疗宫颈良性疾病及CIN操作简单、安全、手术时间短、出血少、治疗效果佳且可提供完整的病理标本。
Objective To investigate the clinical value of colposcopy high frequency electric wave knife (LEEP) in the diagnosis and treatment of cervical diseases. Methods Eight hundred and seventy-three cases of cervical intraepithelial neoplasia and intraepithelial neoplasia (CIN) grade Ⅰ ~ Ⅲ were examined by colposcopy, cervical cytology and suspicious lesions under electron colposcope. Colposcopic LEEP operation was performed . Observation of operation time, bleeding, surgical efficacy and clinical diagnosis and pathological diagnosis of coincidence rate. Results The primary success rate of colposcopy LEEP in the treatment of cervical diseases was 99.5%. The average operation time was 6 minutes and the bleeding volume was 4.5 ml. 2 cases of secondary bleeding, no postoperative infection occurred. Surgical specimens by pathological examination and preoperative diagnosis consistent rate of 90.5%. Conclusions Colposcopic LEEP for the treatment of benign cervical diseases and CIN is simple, safe, short operation time, less bleeding, good curative effect and can provide complete pathological specimens.