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目的探讨宫颈环形电切术(LEEP)和微波治疗宫颈上皮内瘤变(CIN)的手术疗效及安全性。方法将2010年2月至2011年2月妇科门诊就诊,经妇科检查宫颈细胞学初筛后,电子阴道镜下宫颈多点活检证实为宫颈CINⅠ32例,CINⅡ12例,随机分成两组,A组CINⅠ15例,CINⅡ7例,B组CINⅠ17例,CINⅡ5例。A组宫颈行LEEP刀手术治疗,手术标本均送病理,B组宫颈行微波治疗。观察两组术后出血量、时间、宫颈塑形、愈合情况。结果 A组22例宫颈塑形好,愈合佳,其中1例术后半个月阴道出血量增多,鲜红,考虑血痂脱落引起,行二次电凝止血术,一次成功率为95.5%。B组一次治愈率为86.36%,宫颈病变深者3例,行二次手术治疗,手术时间及出血量均多于A组。两组出血时间、阴道排液量比较差异均无统计学意义。结论阴道镜下LEEP刀治疗宫颈上皮内瘤变CINⅠ、CINⅡ安全可靠,操作方便,手术时间短,无需缝合,出血少,手术无痛苦,疗效好,可提供完整的病理标本,诊断治疗及时可靠。
Objective To investigate the curative effect and safety of cervical ring electrosurgical excision (LEEP) and microwave treatment of cervical intraepithelial neoplasia (CIN). Methods From February 2010 to February 2011, gynecological clinics were treated. After cervical cytology screening by gynecological examination, cervical multipoint biopsy under electronic colposcopy was confirmed as cervical CINⅠ32 cases and CINⅡ12 cases, which were randomly divided into two groups. A group CINⅠ15 Cases, CIN Ⅱ 7 cases, B group CIN Ⅰ 17 cases, CIN Ⅱ 5 cases. A group of cervical line LEEP knife surgery, surgical specimens were sent to pathology, B group of cervical line microwave treatment. Two groups were observed postoperative bleeding, time, cervical shaping, healing. Results A group of 22 cases had good cervical shape and good healing. One case had vaginal bleeding for half a month after operation. The red scar was caused by shedding of blood clots. The success rate was 95.5%. In group B, the primary cure rate was 86.36% and the cervical lesions were deep in 3 cases. The second operation, operation time and bleeding volume were more than group A. Bleeding time between the two groups, vaginal discharge were no significant difference. Conclusion Colposcope LEEP knife treatment of cervical intraepithelial neoplasia CIN Ⅰ, CIN Ⅱ safe, reliable, easy to operate, short operation time, no suture, less bleeding, no pain, good curative effect, can provide complete pathological specimens, diagnosis and treatment of timely and reliable.