环形电切术后持续性及复发性宫颈发育异常
Persistent and recurrent cervical dysplasia after loop electrosurgical excision procedure.
作者信息
Brockmeyer Amy D, Wright Jason D, Gao Feng, Powell Matthew A
机构信息
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO 63110, USA.
出版信息
Am J Obstet Gynecol. 2005 May;192(5):1379-81. doi: 10.1016/j.ajog.2004.12.044.
OBJECTIVE
Our objective was to determine whether demographic, colposcopic, and pathologic variables are predictive of recurrent cervical dysplasia.
STUDY DESIGN
A retrospective review of patients who underwent loop electrosurgical excision procedure (LEEP) was performed. The medical records of the subjects were reviewed to identify demographic, pathologic, and procedural characteristics that predict recurrent dysplasia.
RESULTS
A total of 514 subjects were identified who underwent LEEP between 1996 and 2003. Multivariate analysis revealed that advanced age, immunosuppression, and a positive endocervical margin were associated with recurrent dysplasia.
CONCLUSION
Demographic and pathologic data can be used to predict the risk of recurrence of cervical dysplasia after LEEP.
目的
我们的目的是确定人口统计学、阴道镜检查和病理学变量是否可预测复发性宫颈发育异常。
研究设计
对接受环形电切术（LEEP）的患者进行回顾性研究。查阅研究对象的病历，以确定可预测复发性发育异常的人口统计学、病理学和手术特征。
结果
共确定了514名在1996年至2003年间接受LEEP的研究对象。多变量分析显示，高龄、免疫抑制和宫颈管切缘阳性与复发性发育异常相关。
结论
人口统计学和病理学数据可用于预测LEEP术后宫颈发育异常复发的风险。
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