摘要 :目的 探讨使用高频电波刀作宫颈环形电切术切除宫颈上皮内瘤样病变(CIN)的临床价值。 方法 阴道镜下活检病理诊断为CIN87例，行电波刀宫颈环形电切术，术后2个月及9个月行阴道镜复查并作细胞学追踪。 结果 术后2个月:阴道镜检查图像正常者82例(94.3%)，另5例为宫颈表面出现红斑，活检均为炎症或正常宫颈组织;细胞涂片阴性79例(90.8%)，细胞核肥大或轻度核异质8例(9.2%)。9个月后复查72例，阴道镜下均无CIN图像，细胞学正常者70例(97.2%)，细胞核肥大2例(2.8%)。 结论 只要对CIN病变切除的范围够大、够深、够彻底，就不会出现CIN的残留和复发。高频电波刀行宫颈环行电切除是治疗CIN有效手段。

    关键词 :宫颈环形电切术;宫颈上皮内瘤样病变;阴道镜

    87cases of loop electrosurgical excision procedure for cervical intraepithelial neoplasia

    DENG Qiao-ling，ZHOU Jian，WANG Qiao-lian，et al

    (Women and Children's Health Care Hospital，Xuzhou，Jiangsu221009，China)

    Abstract:Objective To evaluate the loop electrosurgical excision procedure(LEEP)in the treatment of cervical intraep-ithelial neoplasia(CIN).Methods 87patients with CIN diagnosed by biopsy were operated on by LEEP.They were re-checked by colposcopy and cytologic examination after two months and nine months.Results Two months after operation ......