【摘要】 目的:探讨子宫颈环形电切除术(LEEP)治疗慢性宫颈炎的疗效、优越性及并发症的防治。方法:对我院2004年3月～2007年12月就诊的有症状的Ⅱ、Ⅲ度宫颈内膜外移、宫颈肥大伴腺囊肿和宫颈息肉的患者共1707例。随机分为两组,分别采用LEEP治疗909例,采用微波治疗798例。所有患者术前均行宫颈细胞学、阴道镜、甚至宫颈活检排除癌前病变及癌变。观察手术时间、术中出血、术后阴道排液、出血、宫颈修复、术后颈管狭窄、复发情况。结果:LEEP组手术时间比微波组长,术中出血量多。术后出血及阴道排液差异无显著性,两组在宫颈Ⅱ度内膜外移疗效差异无显著性。在Ⅲ度宫颈内膜外移及宫颈肥大伴腺囊肿疗效差异有显著性。LEEP组术后病理升级37例,其中浸润癌1例。患者术后均未出现颈管狭窄。结论:LEEP及宫颈微波治疗应用于治疗慢性宫颈炎效果好、安全、可行,但LEEP在治疗宫颈内膜Ⅲ度外移伴感染及宫颈肥大伴腺囊肿病变时更显其优越性。更多还原

【Abstract】 Objective:To investigate the efficacy and superiority of the loop electro-surgical excision procedure (LEEP) used in the treatment of chronic cervicitis,and the prevention and treatment of complications. Methods:From March 2004 to December 2007,707 patients with symptomatic degree Ⅱ,Ⅲ of endometrial ectopia of the cervix,cervical hypertrophy complicated by cyst and cervical polyps were randomly divided into two groups,909 cases of LEEP and 798 cases of microwave treatment. All the patients were receired pre-operative cervical cytology,colposcopy,or cervical biopsy for rulling out cancer and precancerous lesions. To observe the operation time, blood loss,postoperative vaginal discharge,bleeding,cervical repair,postoperative cervical straitness and recurrence. Results:LEEP had longer time and more blood loss compared with the microware treatment. Postoperative bleeding and vaginal discharge had no significant difference in group 2. The effects of degree Ⅱ of cervical ectopia of endometrial had no significant difference. The two groups in the treatment of the degree Ⅲ of cervical ectopial of endometrial,cervical hypertrophy,and Nessler’s cyst had significant difference in efficacy.In LEEP group,there were 39 cases of pathological escalation and 1 case of invasive carcinoma. All patients with cervical straitness did not occur. Conclusion:LEEP and microwave therapy used in the treatment of cervicitis are effective,safe and feasible,but LEEP in the treatment of degree Ⅲ cervical ectopia of endometrial with infection,cervical hypertrophy and Nessler’s cyst has more superiority.更多还原