【摘要】 目的:探讨子宫颈电环切除术在宫颈病变诊断和治疗中的作用,以及其并发症的预防和处理。方法:回顾性分析2001年1月至2005年12月采用子宫颈电环切除术诊治本院64例宫颈上皮内瘤变和宫颈原位癌患者的手术方法、病理结果、并发症及疗效。结果:术前、后病理诊断一致占32.81%(21/64),术后病理诊断级别下降占51.56%(33/64),术后病理诊断级别上升占15.63%(10/64)。手术时间为2~11 min,平均(6.2±1.34)min,术中出血量平均为(38.89±8.49)mL。术后子宫颈狭窄有3例,占4.69%(3/64)。64例患者中2例半年后复发。结论:子宫颈电环切除术手术时间短、并发症少,可提高宫颈上皮内瘤变和宫颈原位癌的诊断率,对宫颈上皮瘤变和保留子宫的宫颈原位癌患者的治疗起着重要作用。更多还原

【Abstract】 Objective:To study the use of loop electrosurgical excision procedure(LEEP) in the diagnosis and treatment of cervical disease as well as prevention and management of LEEP-related complications.Methods: From January 2001 to December 2005,data on 64 cases of cervical intraepithelial neoplasia(CIN) or cervical in-situ carcinoma treated by LEEP were analyzed retrospectively,including operation approach,pathology findings,complications and outcomes.Results:Compared with cytology grading before operation,consistent pathological findings were found in 32.81%(21/64) of the cases,while upgradation was noted in 15.63%(10/64)and downgradation in 51.56%(33/64).The mean operation time was 6.2±1.34 min(2~11 min)and the mean blood loss was 38.9±8.49 mL.There were 3 cases(4.69%) of cervical stenosis after operation and 2 cases of recurrence half a year later.Conclusions :LEEP showed a number of benefits including short operation time,little blood loss,few complications,and improved diagnosis of CIN and cervical carcinoma in situ,which may be promising for uterus-sparing of CIN and cervical carcinoma in situ.更多还原