耿晓星, 马荣, 朱镭, 高庆玉. HPV和TCT检测对LEEP治疗CIN效果的监测意义[J]. 中国肿瘤临床, 2006, 33(11): 608-610.
引用本文: 耿晓星, 马荣, 朱镭, 高庆玉. HPV和TCT检测对LEEP治疗CIN效果的监测意义[J]. 中国肿瘤临床, 2006, 33(11): 608-610.
Geng Xiaoxing, Ma Rong, Zhu Lei, Gao Qingyu. The Significance of Detection of HPV and CIN after LEEP Treatment of CIN[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 608-610.
Citation: Geng Xiaoxing, Ma Rong, Zhu Lei, Gao Qingyu. The Significance of Detection of HPV and CIN after LEEP Treatment of CIN[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 608-610.

HPV和TCT检测对LEEP治疗CIN效果的监测意义

The Significance of Detection of HPV and CIN after LEEP Treatment of CIN

  • 摘要: 目的 :探讨Leep治疗CIN的疗效和是否能有效消除HPV感染,以此评估该治疗方法对CIN治疗的有效性。 方法 :对98例TCT异常,高危型HPV阳性,组织学检查证实为CIN1~3的妇女实行Leep治疗,治疗后3个月再次行TCT检查并检测高危型HPV,阳性病例行组织学检查。 结果 :CIN1HPV转阴率为74.2%(49/66),病变残留率为4.5%(3/66),病变残留与HPV持续阳性成正比;CIN2~3HPV转阴率为46.9%(15/32),病变残留率为34.4%(11/32),病变残留与HPV持续阳性成正比;CIN1组治疗后HPV阴转率及病灶彻底切除率均高于CIN2~3组,统计学分析有显著意义。 结论 :高危型HPV感染率与CIN程度成正比,CIN2~3高于CIN1;Leep不仅可以有效治疗CIN1,而且可以有效降低HPV感染率;Leep治疗对部分CIN2~3尚不够充分,应加大宫颈组织的切除范围和深度;Leep治疗后残留病变与HPV持续阳性密切相关;TCT和HC-2检测不仅可以评价CIN疗效,而且可以作为CIN治疗后追踪随访的有效手段。

     

    Abstract: Objective :To explore the curative effect of loop electrosurgical excision procedure(LEEP) therapy and concurrent elimination of HPV infection on cervical intraepithelial neoplasia (CIN). Methods :Ninety-eight cases with high-risk HPV infection and CIN I/II/III were confirmed with Thin-Prep liquid-based cytology test (TCT) and histology. The patients were treated with LEEP. TCT andhybrid capture II (HC-2) were conducted to screen for HPV three months later, and the patients withpositive results were examined by histology. Results : Seventy-four percent of CIN I cases tested nega-tive for HPV (49/66), and the HPV clearance rate was 4.5% (3/66). The rates of viral clearance andHPV persistent infection were as expected. CIN II/III had lower rates of viral clearance and higher ratesof HPV persistent infection, and statistical significance was clear. Conclusions :The presence of high-risk HPV infection is directly proportional to the pathological change of CIN, with CIN II/III havinghigher infection rates than CIN I. LEEP is an effective procedure for curing CIN I and can eliminateHPV infection. This procedure is not quite satisfactory for treatment of CIN II/III, so enlarged excisionof cervical tissue is essential. TCT and HC- 2 examination can estimate the therapeutic effect of LEEPon CIN and become a good method for making a prognosis for CIN.

     

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