环形电切术治疗宫颈病变223例临床分析.docx

环形电切术治疗宫颈病变223例临床分析[摘要]目的探讨环形电切术（LEEP）在宫颈病变的诊断及治疗中的临床价值。方法回顾性分析2010年1~12月我院用高频电波刀行环行电切除术的223例宫颈病变患者的临床资料。结果时间平均手术（5.38±1.38）min平均术中出血量（6.02±3.24）mL术后阴道流血量＞40mL17例术前阴道镜下点活检病理诊断与环形电切术后病理诊断完全符合216例降级1例升级6例。结论环形电切术治疗宫颈病变有手术时间短、术中出血少、可提供完整的病理标本等优势值得在临床广泛使用。[关键词]环形电切术；宫颈病变；治疗[中图分类号]R713[文献标识码]B[文章编号]1673-7210（2012）01（c）-0161-02Clinicalanalysisontheloopelectrosurgicalexcisionprocedureinthetreatmentof131patientswithcervicallesionsCHANGYeshaLUYanlingRONGJunZHUYuDepartmentofGynecologytheFirstPeople'sHospitalofZhaotongCityYunnanProvinceZhaotong657000China[Abstract]ObjectiveToexploretheclinicalvalueofloopelectrosurgicalexcisionprocedure(LEEP)inthediagnosisandtreatmentofcervicallesions.MethodsTheclinicaldatasof223caseswithcervicallesionsinourhospitalfromJanuary2010toDecember2010treatedwithloopelectrosurgicalexcisionprocedurewereanalyzed.ResultsTheaverageoperatingtimewas(5.38±1.38)min.Theaverageamountofbleedinginsurgerywas(6.02±3.24)mL.17patientstreatedwithLEEPbleedmorethan40mLaftertheoperation.Thecaseswhichpathologicalfindingsbeforetheoperationaccordedwithpathologicalresultsafterloopelectrosurgicalexcisionprocedurewere216cases.Thecasedegradingaftertheoperationwas1case;andwhichescalatingwas6cases.ConclusionLoopelectrosurgicalexcisionprocedurehassignificantvalueinthetreatmentofcervicallesionsbecauseofshorteroperatingtimelesserbleedinginoperationandprovidingintactpathologicalsamples.[Keywords]Loopelectrosurgicalexcisionprocedure;Cervicallesion;Treatment宫颈环形电切术（loopelectrosurgicalexcisionprocedureLEEP）是利用安装在手柄上的环形金属细线圈传导的电流切除宫颈组织是近几年兴起并在临床广泛开展的新技术[1]。我院从2007年开始应用环形电切术治疗宫颈病变在实践中证实其有手术时间短、术中出血少、止血效果好、操作方便等优势[2]。本研究将我院2010年1～12月环形电切术治疗的223例病例进行回顾性分析评估其临床应用价值。1资料与方法1.1一般资料2010年1～12月我院门诊及住院部共有223例宫颈病变患者行环形电切术。①年龄21～4