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目的:探讨阴道镜高频电波刀(LEEP)联合应用对诊断及治疗宫颈病变的临床价值。方法:对经妇科检查为宫颈糜烂、或有接触性出血的门诊患者,均行经薄层液基细胞学图片(TCT)检查,取结果异常或临床可疑者为指征,行阴道镜检查并配合LEEP手术治疗,手术标本均送病理检查;观察术后疗效及术后病理诊断。结果:阴道镜配合LEEP手术治疗宫颈病变成功率高(296/300),用时短,出血量少。无继发性出血和感染的发生;手术标本经病理学检查明确诊断。结论:LEEP治疗宫颈疾病操作简单、安全、手术时间短、出血少,术后阴道排液少,治疗效果好。
Objective: To investigate the clinical value of combined use of colposcopy and radio-frequency knife (LEEP) in the diagnosis and treatment of cervical lesions. Methods: Outpatients who had gynecological examination of cervical erosion or who had contact bleeding were examined by thin-section liquid-based cytology (TCT), and the results were abnormal or clinically suspicious as indications. Colposcopy and collation LEEP surgical treatment, surgical specimens were sent for pathological examination; observation of postoperative efficacy and postoperative pathological diagnosis. Results: Colposcope combined with LEEP treatment of cervical lesions with high success rate (296/300), with short time, less bleeding. No secondary bleeding and infection occurred; surgical specimens were diagnosed by pathological examination. Conclusion: LEEP treatment of cervical disease is simple, safe, short operation time, less bleeding, less postoperative vaginal discharge, good therapeutic effect.