摘要
目的观察不同高频电波刀电圈切除(LEEP)术式在治疗宫颈病变后宫颈塑形情况。方法对宫颈上皮内瘤样病变(C IN)、人类乳头瘤病毒(HPV)感染、宫颈赘生物、宫颈湿疣及中重度宫颈糜烂共209例宫颈疾病患者行宫颈LEEP手术。手术方式包括浅宫颈环切术、深宫颈环切术、宫颈锥切术以及类似冷刀宫颈锥切术四种。术中记录手术切除宫颈宽度及深度,术后观察宫颈塑形情况。结果209例宫颈疾病患者宫颈塑形满意179例(85.6%);宫颈塑形欠满意24例(11.5%);宫颈塑形不满意6例(2.9%)。浅宫颈环切术、深宫颈环切术以及宫颈锥切术宫颈塑形满意度高。宫颈塑形欠满意中宫颈柱状上皮外翻15例(7.2%);宫颈塑形不满意6例(2.9%),其中宫颈柱状上皮严重外翻3例,宫颈穹窿变浅及宫颈缩短2例,严重红斑1例。结论LEEP手术在宫颈病变治疗后宫颈塑形满意度高,但仍然存在宫颈柱状上皮外翻、宫颈穹窿变浅、宫颈缩短、严重红斑等宫颈塑形不满意情况,需根据病情选择合适的手术方式。
Objective To observe the cervical regeneration outcome after different loop electrosurgical excision procedures （LEEP） for the management of cervical lesions. Methods A total of 209 patients with cervical lesions including cervical epithelial neoplasia, cervical HPV infection, cervical polyp and condyloma, and severe cervicitis were performed LEEP in our hospital. The types of LEEP included shallow ring excision, deep ring excision, LEEP conization, and that similar to cold-knife conization. The width and depth of removed cervical tissues were recorded, and the cervical regeneration was observed during the follow-up. Results Among the 209 cases, 179 （85.6%） were satisfactory cervical regeneration, 24（ 11.5% ） were little satisfactory cervical regeneration, and 6（2.9% ） were unsatisfactory cervical regeneration. Shallow ring excision, deep ring excision and cone excision had higher satisfactory situation. Extroversion of cervical columnar epithelium was observed in 15 cases （7.2%） in little satisfactory cervical regeneration. Severe extroversion of cervical columnar epithelium of 3 cases occurred in unsatisfactory cervical regeneration. Besides, there were 2 case of cervical shortening and 1 case of severe erythema in unsatisfactory cervical regenerations. Conclusion Although having such complications as extroversion of cervical columnar epithelium, cervical shortening and erythema, LEEP performs a high satisfactory cervical regeneration after management of cervical lesions. It is in great need to analyze the condition of different patients in managing cervical lesions by LEEP.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2006年第9期1051-1055,共5页
Journal of Shanghai Jiao tong University:Medical Science
关键词
高频电波刀电圈切除
宫颈病变
宫颈塑形
loop electrosurgical excision procedure
cervical lesion
cervical regeneration
