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目的:观察宫颈环形电切术(LEEP)诊治宫颈病变的效果。方法:对2006年1月～2008年1月在宁夏回族自治区平罗县中医院就诊的150例宫颈病变患者进行LEEP术治疗,观察患者术中、术后情况及病理结果。结果:所有患者手术时间为5～30 min,平均15 min;出血量<5 ml 47例,占31.3%,出血量5～10 ml 82例,占54.7%,出血量20～50 ml 21例,占14.0%;病理结果,阴道镜下活检存在漏诊,而LEEP术可以较全面地切除病变组织,标本可以获得更进一步的诊断;所有患者术后随访结果良好,6个月时有136例行TCT复查,结果均为阴性。结论:LEEP术操作简单、手术时间短、痛苦小、安全、术后恢复快,是目前治疗宫颈病变较理想的方法。
Objective: To observe the effect of cervical ring excision (LEEP) in diagnosis and treatment of cervical lesions. Methods: From January 2006 to January 2008, 150 cases of cervical lesions treated by Pingluo Chinese Medicine Hospital of Ningxia Hui Autonomous Region underwent LEEP. The intraoperative, postoperative and pathological findings were observed. Results: The operation time of all the patients was 5 to 30 minutes, with an average of 15 minutes. 47 cases (31.3%) had bleeding amount of 5 ml, 82 cases (54.7%) had bleeding volume of 5 to 10 ml, 21 cases (20 to 50 ml) Accounting for 14.0%; pathological results, colposcopy biopsy there is a missed diagnosis, and LEEP surgery can be more comprehensive removal of diseased tissue specimens can be further diagnosed; all patients were followed up good results, 6 months, 136 cases of TCT Review, the results were negative. Conclusion: LEEP operation is simple, the operation time is short, the pain is small, safe and quick recovery after operation, which is the ideal method for treating cervical lesions.