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KMID : 0358419940370081577
Korean Journal of Obstetrics and Gynecology
1994 Volume.37 No. 8 p.1577 ~ p.1583
Efficacy of Loop Electrosurgical Excision Precedure (LEEP) in the Diagnosis and Treatment of Abnormal Cervical Lesions
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Abstract
A group of 88 patients with abnormal cervical cytology underwent the Loop Electrosurgical Excision Procedure during the period from March, 1993 to January, 1994 at Korea University Kuro Hospital.
This study was performed to assess the efficacy of LEEP in the diagnosis and treatment of abnormal cervical lesions.
1 The age distribution (in the years of age per decade) undergoing LEEP were 3.4% in the 2nd, 37.5% in the 3rd and 30.7% in the 4th decade, in which the 3rd and 4th decade took most of the age distribution. And the 5th and 6th decade took only
20.5% and
7.9% respectively.
2. The concordance rate of LEEP histology with cervical cytology was 59.1% (52 cases). In comparison to cervical cytology, the higher LEEP histologic rare was 26.1% (23 cases), and lower LEEP histologic rate was 14.8%(13 cases), respectively.
3. Of the 35 women with CIN III, only 5 women were reported with positive margin. Therefore a signle therapy with LEEP proved effective in 30 women with CIN III(85.7%).
4. In 27 women with CIN III showing negative margin, there was no evidence of persistent or recurrent disease during the 6 month follow-up. And in 3 women with CIN III showing positive margin who underwent LEEP a second time. There was also no
recurrence.
5. The average wideth and depth of specimens were26.5¡¾8.3mm and 9.8¡¾2.1 mm, respectively. LEEP was also able to provide enough and proper specimen for pathologists,
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