宫颈环形电切术治疗宫颈上皮内瘤变Ⅲ47例疗效分析

目的探求子宫颈环形电切术（LEEP）治疗宫颈CINⅢ的临床价值。方法对在经妇科检查、液基细胞学检查、人乳头状瘤病毒、阴道镜检查及宫颈多点活检初步诊断为CINⅢ的47例患者采用LEEP手术治疗，切除病变组织送病理学检查，观察手术时间、手术出血量及手术疗效。结果47例CINⅢ病变中术前术后病理一致者27例，占57．46％；术后病理诊断级别升高6例，占12．75％，其中原位癌3例，早期浸润癌1例，浸润癌2铡；术后病理诊断级别降低14例，占29．79％。结论LEEP手术治疗宫颈CINⅢ是行之有效的方法，通过LEEP手术标本的2次病理检查，可防止过度治疗，对避免宫颈癌的漏诊有重要意义。

Clinical analysis of LEEP in treatment of 47 cases with cervical CIN Ⅲ

Objective To explore the clinical value of the cervical loop electrosurgical excision procedure (LEEP) for cervical CIN M. Methods The pelvic examination in the liquid-based cytology(TCT) ,human papilloma virus(HPV) ,colposcopy and cervical biopsies initially diagnosed as more patients with CIN IE LEEP surgery,removal of diseased tissue sent pathology, operation time, operative blood loss and surgical effect were observed. Results LEEP surgical treatment of cervical CIN Ⅲ was an effective method,by LEEP surgical pathology specimens of the second to prevent over-treatment,for some with conservation of the uterus and fertility function for possible,and the right to avoid the misdiagnosis of cervical cancer has important significance. Conclusion Cytology-colposcopy-LEEP surgery treatment was effective to block the emergence of the incidence of cervical cancer.