The value of treating cervical intraepithetlial neoplasm with Loop Electrosurgical Excision Procedure
Wang Shu-zhen
Abstract
Wang Shu-zhen
Abstract
Objective Discussion of loop electrical excision(LEEP) height of cervical squamous intraepithelial lesions(≥CIN2) clinical value of postoperative follow-up approach.Methods Random select outpatient Department of our hospital of cervical,cervical biopsy under colposcopy ≥CIN2 in 113 patients with pathologic diagnosis,are treated by cervical LEEP,specimens were sent after resection of pathological examination,and postoperative follow-up colposcopy and HPV.Results LEEP preoperative postoperative pathological result in 54 cases,Level droopped in 34cases,level increased in 25 cases.The level rose 8cases of early invasive carcinoma of cervix.102 cases of preoperative high-risk HPV infection,of which 68 cases alone,34 cases of compound infection.HPV negative conversion rates for 6 months after surgery(85.29%),December negative conversion rates(97.06%),the differences are signifi cant.Living with persistent high risk HPV,cervical biopsy under colposcopy + tube curettage found residual lesions of the cervix(eight-f ifteenths) 40%.Conclusion LEEP on cervical squamous intraepithelial lesions of the highly secure cost-effective,but due to cervical pathological changes of multifocal,after can be high-risk HPV monitoring combined with curettage biopsy under colposcopy + cervical tube,to early detection of residual lesions and(or) relapse
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Objective Discussion of loop electrical excision(LEEP) height of cervical squamous intraepithelial lesions(≥CIN2) clinical value of postoperative follow-up approach.Methods Random select outpatient Department of our hospital of cervical,cervical biopsy under colposcopy ≥CIN2 in 113 patients with pathologic diagnosis,are treated by cervical LEEP,specimens were sent after resection of pathological examination,and postoperative follow-up colposcopy and HPV.Results LEEP preoperative postoperative pathological result in 54 cases,Level droopped in 34cases,level increased in 25 cases.The level rose 8cases of early invasive carcinoma of cervix.102 cases of preoperative high-risk HPV infection,of which 68 cases alone,34 cases of compound infection.HPV negative conversion rates for 6 months after surgery(85.29%),December negative conversion rates(97.06%),the differences are signifi cant.Living with persistent high risk HPV,cervical biopsy under colposcopy + tube curettage found residual lesions of the cervix(eight-f ifteenths) 40%.Conclusion LEEP on cervical squamous intraepithelial lesions of the highly secure cost-effective,but due to cervical pathological changes of multifocal,after can be high-risk HPV monitoring combined with curettage biopsy under colposcopy + cervical tube,to early detection of residual lesions and(or) relapse
Key concepts: Colposcopy, Medicine, Endocervical curettage, Cervical intraepithelial neoplasia, Cervix, Curettage, Biopsy, Electrosurgery