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LEEP术治疗宫颈上皮内瘤变145例临床观察

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摘要 目的探讨高频电波刀(LEEP)子宫颈锥切术治疗宫颈上皮内瘤变的临床价值。方法对经阴道镜下活检确诊为宫颈上皮内瘤变的145例患者行LEEP宫颈锥切,观察手术时间、术中出血量、宫颈塑形情况、术前宫颈活检与术后病理结果、并发症、术后随访疗效。结果手术时间3~15min,平均6rain;出血量3~25ml;并发症发生率为4.8%;145例宫颈塑形满意138例(95.2%);阴道镜下宫颈活检宫颈上皮内瘤变(CIN)的CINI、CINII、CINⅢ与LEEP术后标本的病理诊断呈正相关关系(rs=0.796,P〈0.01)。结论LEEP子宫颈锥切术是诊治宫颈上皮瘤变安全有效的方法,患者易于接受,但要严格把握其适应证及禁忌证,最大限度地减少并发症,合理应用。
作者 李永胜
出处 《淮海医药》 CAS 2015年第6期563-564,共2页 Journal of Huaihai Medicine
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