Korean J Obstet Gynecol.
1999 Jul;42(7):1478-1483.
Efficacy of LLETZ in the Management of Cervical Intraepithelial Neoplasia
Abstract
OBJECTIVE
This study was performed to demonstrate efficacy of LLETZ in the treatment of CIN. METHOD: One hundred patients with dysplasia diagonsed by colposcopically -directed punch biopsy underwent the LLETZ from April, 1993 to December, 1997 at Gynecologic department of Il Sin Christian Hospital.
RESULTS
The comparison between the diagnosis of punch biopsy and that of LLETZ showed fair agreement with 48%[48/100.table3] of cases. The abnormal lesion was underestimated by punch biopsy in 11% of cases. Of them, severe dysplasia was 2 cases and CIS was 4 cases. As the dysplasia lesion was getting severe, margin involvent rate was increased, but there was no relation to recurrence. The 2 case of 90 fallowed up from 3 months to 12 months were reccured after LLETZ. Complication was few.
CONCLUSION
LLETZ allowed more acurate histologic examination of the CIN lesion than punch biopsy and showed good result of treatment without complication.
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