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[目的]结合临床实践经验,探讨宫颈上皮内瘤样病变的诊断及治疗方法。[方法]2007年1月～2009年12月对某院收治的173例CIN的临床资料进行回顾性分析。[结果]173例CIN患者中,阴道镜检查与液基细胞学检测法诊断符合率均明显高于宫颈涂片巴氏分级法,差异有统计学意义(P﹤0.05)。并且阴道镜检查诊断符合率明显优于液基细胞学检测法,差异有统计学意义(P﹤0.05)。LEEP锥切组的手术时间、术中出血量、宫颈修复时间以及手术费用均少于传统锥切组,差异有统计学意义(P﹤0.05),且两组患者的病变持续例数、术后颈管狭窄例数和复发例均为0。[结论]阴道镜检查是诊断CIN的有效方法,阴道镜检查及活检联合高频电波刀治疗宫颈病变,具有手术时间短、出血少、治愈率高,能保留生育功能,术后不影响妊娠,患者易于接受等优点,值得临床推广。
[Objective] To explore the diagnosis and treatment of cervical intraepithelial neoplasia based on clinical practice. [Methods] From January 2007 to December 2009, clinical data of 173 patients with CIN admitted to a hospital were retrospectively analyzed. [Results] Among the 173 patients with CIN, the coincidence rates of colposcopy and liquid-based cytology were significantly higher than those of pap smear (P <0.05). And colposcopy diagnosis was significantly better than the liquid-based cytology detection method, the difference was statistically significant (P <0.05). The operation time, intraoperative blood loss, cervical repair time and operation cost of LEEP conization group were less than those of conventional conization group, the difference was statistically significant (P <0.05) Cervical stenosis and recurrence cases were 0 cases. [Conclusion] Colposcopy is an effective method to diagnose CIN. Colposcopy and biopsy combined with high frequency electric wave knife in the treatment of cervical lesions have the advantages of short operative time, less bleeding, high cure rate, retention of reproductive function, no postoperative pregnancy, Patients are easy to accept and other advantages, it is worth clinical promotion.