论文部分内容阅读
目的探讨宫颈环状电切术(LEEP)在宫颈病变诊治中的应用价值。方法选择因TCT阳性而行LEEP手术的139例患者,分析对照细胞学和组织学结果,评价TCT和LEEP术在宫颈病变中的应用价值。结果 TCT阳性患者中,CIN及宫颈癌的检出率为85.61%,病变级别越高,诊断符合率越高。ASC-H患者中CINⅡ、CINⅢ的比例明显高于ASC-US患者,二者比较差异有统计学意义,P<0.05。结论 TCT有较高的阳性筛查率,LEEP术是诊治宫颈病变安全有效的方法,应合理使用。
Objective To investigate the value of cervical ring resection (LEEP) in the diagnosis and treatment of cervical lesions. Methods A total of 139 patients undergoing LEEP for TCT were selected to analyze the control cytology and histological findings and to evaluate the value of TCT and LEEP in cervical lesions. Results Among TCT positive patients, the positive rate of CIN and cervical cancer was 85.61%. The higher the grade of disease was, the higher the diagnostic coincidence rate was. The proportion of CINⅡ and CINⅢ in patients with ASC-H was significantly higher than that in patients with ASC-US, the difference was statistically significant (P <0.05). Conclusion TCT has a higher positive rate of screening, LEEP is a safe and effective method of diagnosis and treatment of cervical lesions should be reasonable use.