环形电切术治疗宫颈病变223例临床分析(1)
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[摘要] 目的 探讨环形电切术(LEEP)在宫颈病变的诊断及治疗中的临床价值。 方法 回顾性分析2010年1~12月我院用高频电波刀行环行电切除术的223例宫颈病变患者的临床资料。 结果 时间平均手术(5.38±1.38)min，平均术中出血量(6.02±3.24)mL，术后阴道流血量>40 mL 17例，术前阴道镜下点活检病理诊断与环形电切术后病理诊断完全符合216例，降级1例，升级6例。 结论 环形电切术治疗宫颈病变有手术时间短、术中出血少、可提供完整的病理标本等优势，值得在临床广泛使用。
[关键词] 环形电切术；宫颈病变；治疗
[中图分类号] R713 [文献标识码] B [文章编号] 1673-7210(2012)01(c)-0161-02
Clinical analysis on the loop electrosurgical excision procedure in the treatment of 131 patients with cervical lesions
CHANG Yesha LU Yanling RONG Jun ZHU Yu
Department of Gynecology, the First People's Hospital of Zhaotong City, Yunnan Province, Zhaotong 657000, China
[Abstract] Objective To explore the clinical value of loop electrosurgical excision procedure (LEEP) in the diagnosis and treatment of cervical lesions. Methods The clinical datas of 223 cases with cervical lesions in our hospital from January 2010 to December 2010 treated with loop electrosurgical excision procedure were analyzed. Results The average operating time was (5.38±1.38) min. The average amount of bleeding in surgery was (6.02±3.24) mL. 17 patients treated with LEEP bleed more than 40 mL after the operation. The cases which pathological findings before the operation accorded with pathological results after loop electrosurgical excision procedure were 216 cases. The case degrading after the operation was 1 case; and which escalating was 6 cases. Conclusion Loop electrosurgical excision procedure has significant value in the treatment of cervical lesions, because of shorter operating time, lesser bleeding in operation and providing intact pathological samples.
[Key words] Loop electrosurgical excision procedure; Cervical lesion; Treatment
宫颈环形电切术(loop electrosurgical excision procedure，LEEP)是利用安装在手柄上的环形金属细线圈传导的电流切除宫颈组织，是近几年兴起并在临床广泛开展的新技术[1]。我院从2007年开始应用环形电切术治疗宫颈病变，在实践中证实其有手术时间短、术中出血少、止血效果好、操作方便等优势[2]。本研究将我院2010年1～12月环形电切术治疗的223例病例进行回顾性分析，评估其临床应用价值。
1 资料与方法
1.1一般资料
2010年1～12月我院门诊及住院部共有223例宫颈病变患者行环形电切术。①年龄21～45岁，平均35岁，所有患者均已生育，无再生育要求。②避孕方法：节育器避孕112例，占50.2%；男用避孕套56例，占25.1%；口服短效避孕药45例，占20.2%；使用多种避孕方法10例，占4.5%。③临床症状：白带增多55例，占24.7%；腹痛43例，占19.3%；白带增多伴腰腹痛76例 ......
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