LEEP 治疗宫颈上皮内瘤变 99 例效果分 析简

目的：探讨宫颈电环切术（LEEP）诊治宫颈上皮内瘤变（CIN）的可行性，疗效及术后复发情况。方法：回顾性分析经阴道镜活检明确为CIN者99例行LEEP术的诊治资料。结果：LEEP治疗CIN平均时间6.5±2.3min，术中出血量平均8.5±3.5ml，4例术后阴道出血较多，经治疗后好转。病理降级33例（33.33%）,等级60例（60.61%）,升级6例（6.06%）。LEEP术一次治疗有效率达97.98%（97/99），2例LEEP术后复发。结论：LEEP术治疗CIN安全有效,并发症少，且能在治疗宫颈病变的同时诊断出更高级别病变,弥补阴道镜点活检诊断的不足，但是术后随诊非常重要。

Treatment effect Analysis of 99 Cases on Intraepithelial Neoplasia Using Loop Electrosurgical Procedure

Objective：To study the feasibility, efficacy and postoperative recurrence of loop electrosurgical exci-sion procedure （LEEP） in the diagnosis and management of cervical intraepithelial neoplasia （CIN）. Methods：Retro-spectively studied 99 patients undergoing LEEP because of CIN after biopsy under colposcopy treatment.Results：The mean operative time was 6.5 min, average blood loss was 8.5ml, 4 cases occurred more postoperative vaginal bleeding, but improved after treatment. Histologic findings revealed that 33 cases （33.33%）CIN was grade lowed,60cases （60.61%）CIN grade was remained the same and 6 cases （6.06%）CIN grade was gone up. LEEP once treatment effi-ciency is 97.98%（97/99）, 2 patients relapsed. Conclusion：LEEP is a kind of safe and effective method for treatment of CIN with few complications, in addition, it can make the diagnosis of a higher level to make up for the lack of colpo-scopic biopsy diagnosis. But the postoperative follow-up is very important.