LEEP术治疗宫颈病变 148例临床分析.docVIP

精品论文 参考文献 LEEP术治疗宫颈病变 148例临床分析 董岚曹振平谢穗刘永环黄凤萍 　　合肥市第三人民医院 （合肥230001） 　　【摘要】 目的 探讨宫颈环形电切术(Cervical Ioop electrosurgical excision procedure LEEP)在诊治宫颈病变的效果。 　　方法 回顾性分析148例行LEEP手术的宫颈病变患者，观察手术时间、出血量、手术前后组织病理诊断结果变化，评价LEEP诊断情况及治疗效果。 结果 LEEP平均手术时间5.1分钟，术中平均出血量5．6ml，术前电子阴道镜下活检结果与LEEP术后病理结果诊断一致率为70.91％(105/148)． LEEP术后病理结果级别升高13例(8.78％)，病理级别降低20例（13.51%）。 结论 LEEP术具有手术快捷、简便易行、安全有效、不需住院的优势，并可以切除足够的宫颈病灶作病理检查，能够提高诊断率，减少误诊、 误治的几率，其临床疗效显著。 　　【关键词】 宫颈病变宫颈环形电切术治疗 　　［中图分类号］R711.32［文献标识码］A［文章编号］1810－5734(2013)12－01－02 ?　Clinical Analysis of 148 Patients with Cervical Diseases Treated by LEEP?　DONG Lan , XIE Sui?　　 　　(Cervical Disease Center-Intemational Peace Maternity and Child Health Hospital．Shang㈦Jiaotong University． 　　Shanghai 200030，China)　　 　　Corresponding author：LI 2hunan 　　【Abstract】Objective To evaluate the efficacy of loop electrosurgical excision procedure(LEEP)in the treatment of cervical diseases． Methods 148cases were treated by LEEP were retrospectively anaIyzed．Operation time，blood loss during the operation．changes of Histopathologic results before and after the operation were studied． Resuits The average operation time was 5．1 minutes．The average blood less dunng the operation was 5．6 m1．The concordance rate of pathologic resuIts under colposcope before operation and after LEEP was 70.91％(105/148)．13cases had increased pathologic grade after LEEP(8.78％1)．20cases had decreased pathologic grade after LEEP(13.51％1)． 　　Conclusions LEEP has advantages of fast,simple,safe and effective operation and can be performed in outpation department. It can excise sufficient cervical lesions for pathological examination and reduce the chance of misdiagnosis and mistreatment.Its clinical curative effect is significant. 　　【Key words】 cervical diseases；Cervical Loop electrosurgical excision procedure；Treatment 　 　　宫颈病变是宫颈的几种常见炎性疾病和一组与宫颈癌相关的癌前病变的统称。患者常表现为白带过多，腰骶部疼痛及性交出血等，影响女性身心健康，并有发展为宫颈癌的可能。早发现、早治疗，能有效降低宫颈癌的发生，降低死亡率。目前治疗宫颈疾病的方法有很多，如微波、 激光、 冷冻等，我院2011年4月—2013年4月应用LEEP手术对各类宫颈疾病进行