Indication of LEEP:1, LEEP as a diagnostic method:(1) cytology was atypical atypical squamous cells (ASCUS) or atypical glandular cells (AGC
Indication of LEEP:
1, LEEP as a diagnostic method:
(1) cytology was atypical atypical squamous cells (ASCUS) or atypical glandular cells (AGC) with no obvious abnormality;
(2) cytology or colposcopy for suspected high-grade squamous intraepithelial lesions (HSIL);
(3) unsatisfactory colposcopy, abnormal cytology.
2, LEEP as the indication of treatment
(1) the CIN1 level confirmed by colposcopy and biopsy showed a continuous state with no follow-up condition;
(2) CIN1 with high-risk HPV infection;
(3) patients with grade CIN2;
(4) severe dysplasia in part CIN3, but not in situ.
LEEP is not suitable for the treatment of CIN, such as pregnancy, immunodeficiency disease, cervical anatomy, vaginitis, etc..
3, circular resection operation indications
(1) abnormal colposcopy;
(2) cervical Pap smears and multiple biopsies were confirmed by pathological examination;
(3) cervical curettage negative;
(4) cervical cancer should be excluded.
Contraindications LEEP surgery
2, immunodeficiency disease;
3, cervical lesion ablation (melted) before;
4, abnormal cervical anatomy;
5, cervical adenocarcinoma or cervical adenocarcinoma in situ;
Advantages of LEEP in the treatment of cervical lesions
1, do not need hospitalization, outpatient surgery, cheap and convenient;
2, at the same time to achieve the purpose of diagnosis and treatment of two purposes;
3, and the removal of tissue can be sent to pathological examination, through the examination of the edge of the specimen to determine whether the lesion has been completely removed, thereby reducing the rate of missed diagnosis of cervical microinvasive carcinoma.
The complications of resection of the electric ring
Incomplete excision of the lesion in LEEP is another side effect. In the literature, the positive rate of cervical specimens was 15%, but the recurrence rate of LEEP was lower (about 25%). Another rare side effect of cervical canal adhesion obstruction (0.5 ~ 4%), mainly in patients with deep lesions. The incidence of complications of LEEP conization was 19%