高频电刀治疗宫颈病变效果观察.docVIP

高频电刀治疗宫颈病变效果观察 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：高频电刀治疗宫颈病变效果观察 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：宫颈LEEP刀环切术治疗宫颈病变效果观察 4 1 资料与方法 5 2 结果 6 3 讨论 6 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 高频电刀治疗宫颈病变效果观察 文1：高频电刀治疗宫颈病变效果观察 【ABSTRACT】 Objective: To study the clinical effect of cervical loop electrosurgical excision procedure (LEEP) in diagnosis and treatment of cervical diseases (including cervicitis, cervical intraepithelial neoplasia and cervical cancer). Methods: 228 patients were analyzed retrospectively who were diagnosed CIN, ASCUS, cervical erosion, loose, cervical muscle tumour, polyp etc by TCT or colposcopy. Operation with loop cone biopsy underwent LEEP and sample were given pathology operation time, bleeding amount, patients reacting and curative effect of the operation were observed as well. Results: The average time of operation was 3 minutes, the average bleeding amount of operation was 7ml. It had not obviously uncomfortable phenomenon for patient, and the focus disappeared after the operation. The vagina secretion obviously reduced and it had notcervicaladhesionorinfection. Conclusion: The LEEP has the characteristics of short operation time and less bleeding. It is safe and has a good curative effect without side effect. It can make the intact pathology sample and has important clinical value for treating the cervical lesio and diagnosing carcinoma in situ of cervix in early days. 【KEY WORDS】LEEP; Cervical lesio; Diagnosis; Treatment 宫颈病变是妇科常见疾病，宫颈癌是女性生殖道的第一大癌瘤，近几年来，对宫颈疾病的治疗日益重视，随着细胞学检查的 发展 ， 电子 阴道镜的普及，对宫颈病变越来越规范的普查普治，宫颈癌这一严重的宫颈病变得到了有效地防治，降低了死亡率，我院自～月引进LEEP治疗各种宫颈疾病208例，效果满意，现分析如下。 1 资料与方法 一般资料 在228例患者中，重度糜烂69例，经反复用药局部治疗无效的宫颈糜烂49例，微波、冷冻治疗后复发的宫颈糜烂20例，CINⅠ～CINⅡ35例，CINⅢ5例，ASCUS20例，宫颈肥大（桶状宫颈）、宫颈肌瘤和息肉30例。 年龄26～63岁，均无生育要求。 方法 全部病例均行液基薄层细胞学检查（VTCT），对CIN病例行阴道镜检查及镜下活检，除外侵润癌，LEEP切除标本均送病理组织学诊断。 操作步骤及方法 术前宫颈涂布5%醋酸和复方碘液，再次确定病变范围，在病变范围外缘3～5mm处进出电极，以三角形电圈顺时针旋转切除宫颈管组织10～15mm，宫颈组织厚达5～7mm，宫颈糜烂在病变外3mm处进出电极，如病变范围大，为避免电极伤及阴道壁，尽量切除糜烂面，剩余边缘糜烂部分