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目的:探讨阴道镜配合高频电波刀(LEEP)对诊断及治疗宫颈疾病的临床价值。方法:对经妇科检查初步诊断为宫颈糜烂的门诊患者258例,行阴道镜检查并配合LEEP手术治疗,手术标本均送病理检查;观察手术时间、手术出血量、术后疗效及术后病理诊断。结果:阴道镜配合LEEP手术治疗宫颈疾病1次成功率为97.67%(252/258),平均时间6.8 min,出血量6.2 ml,无继发性出血和感染的发生;手术标本经病理学检查明确诊断。结论:阴道镜检查对早期诊断宫颈上皮内瘤变(CIN)、宫颈原位癌具有极高的临床价值。LEEP治疗宫颈疾病操作简单、安全、手术时间短、出血少,术后阴道排液少,治疗效果佳;且可提供完整的病理标本。
Objective: To investigate the clinical value of colposcopy combined with high frequency electric wave knife (LEEP) in the diagnosis and treatment of cervical diseases. Methods: Two hundred and eighty-five outpatients initially diagnosed with cervical erosion by gynecological examination underwent colposcopy and LEEP surgery. The surgical specimens were sent for pathological examination. The operation time, the amount of bleeding, the postoperative curative effect and the postoperative pathological diagnosis were observed . Results: The primary success rate of colposcopy combined with LEEP in the treatment of cervical diseases was 97.67% (252/258) with a mean time of 6.8 min and the amount of bleeding was 6.2 ml, with no secondary hemorrhage and infection. The pathological findings of the surgical specimens were clear diagnosis. Conclusion: Colposcopy is of great clinical value in the early diagnosis of cervical intraepithelial neoplasia (CIN) and cervical carcinoma in situ. LEEP treatment of cervical disease is simple, safe, short operation time, less bleeding, less postoperative vaginal discharge, good treatment effect; and can provide a complete pathological specimens.