LEEP切除宫颈良性赘生物37例临床分析

目的:探讨高频电刀环切术(loop electrosurgical excision procedure,LEEP)在治疗宫颈良性赘生物(Benign Cervical Neoplasm)中的疗效。方法:回顾性分析2006年1月~2007年5月间,应用LEEP诊治宫颈良性赘生物37例,术后1个月、2个月、6个月复诊,观察疗效。结果:手术时间平均6·5min,术中出血5~20ml。术后病理:宫颈息肉17例(46%),宫颈湿疣8例(21·6%),宫颈腺囊肿7例(19%),宫颈肌瘤2例(5·3%),宫颈息肉伴腺囊肿3例(8·1%)。术后1个月、2个月、6个月复诊,宫颈光滑,病变部位上皮恢复其原有上皮组织,宫颈的正常形态及大小基本恢复的病例数分别为24例(64·8%),34(91·9%),35(95%)例。结论:LEEP治疗宫颈良性赘生物,操作简单、出血少、术后并发症少。

Analysis of loop electrode excision procedure for 37 cases with benign cervical neoplasm

Objective:To investigate the effect of loop electrosurgical excision procedure (LEEP) in the treatment of benign cervical neoplasm.Methods:The clinic data of 37 cases from Jan 2006 to May 2007 were retrospectively analyzed and the effects in 1 month,2 months, 6 months after the surgery were observed.Results:The average operative time was 6.5min, bleeding range from 5 ml to 20 ml. Postoperative pathology:cervical polyp 17 cases(46%),cervical condyloma 8 cases(21.6%),nabothian follicles 7 cases(19%),cervical myoma 2 cases(5.3%),cervical polyp with nabothian follicles 3 cases(8.1%).Return visit after 1 month,2 months, 6 months, the cases of the cervical appearance, shape and size were recovered respectively 24(64.8%),34(91.9%),35(95%).Conclusion:LEEP is an effective treatment for benign cervical neoplasm since simplified operation,less hemorrhage and complications after operation.