期刊文献+

宫颈冷刀锥切术在宫颈上皮内瘤变Ⅲ的诊治中的价值 被引量:3

Evaluation of cervical conization in diagnosis and management of cervical intraepithelial neoplasia
下载PDF
导出
摘要 目的评估宫颈冷刀锥切术(cold knife conization,CKC)在宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)Ⅲ诊疗中的临床价值。方法采用自身对照方法,对比分析70例CINⅢ患者阴道镜下多点活检、宫颈锥切术及全子宫切除术的病理检查结果。结果CKC与阴道镜多点活检结果完全符合者有43例(61.43%),11例(15.71%)升级,包括9例早期浸润癌,2例宫颈浸润癌,16例(22.86%)降级。28例CINⅢ行全子宫切除术后残留宫颈病理示CINⅢ1例、CINⅡ4例、CINI 3例,炎症20例。所有病例术后随访,宫颈细胞学检查未见异常。宫颈锥切术主要的并发症是术后出血。结论宫颈锥切术可以提高CINⅢ诊断准确率,预防浸润癌的漏诊,是CINⅢ首选的治疗方法。 Aim To explore the value of diagnosis and treatment of cold knife conization to cervical intraepithelial neoplasia(CKC)Ⅲ.Methods Seventy patients with CIN Ⅲ diagnosed and treated were retrospectively analyzed focusing on the comparative study in pathology between colposcopic multiple biopsies and CKC.Results Of the 70 patients,accordance rate of diagnosis was 61.43%,11 cases(15.71%) upgrades,including 9 cases of early invasive carcinoma and 2 cases of invasive carcinoma,16 cases(22.86%) downgrades.28 cases of CIN Ⅲ after hysterectomy cervical pathology showed residual CINⅢ 1 cases, CINⅡ 4 cases, CINⅠ 3 cases, inflammarion 20 cases. All cases were closely followed up, no cytology abnormality was detected. Postoperative hemorrhage was the main side effect for CKC. Conclusion CKC can inprove the diagnostic accuracy and prenvent the omission of invasive carcinoma for the patient with CIN Ⅲ. CKC is the first choice of treatment for the patient with CIN Ⅲ.
出处 《安徽医药》 CAS 2009年第8期907-908,共2页 Anhui Medical and Pharmaceutical Journal
关键词 宫颈上皮内瘤变 冷刀锥切术 诊断 治疗 cervical intraepithelial neoplasia cold knife conization digonosis treatment
  • 相关文献

参考文献7

二级参考文献23

  • 1钱德英.宫颈锥切术的适应证及并发症[J].中国实用妇科与产科杂志,2004,20(7):401-402. 被引量:141
  • 2苏应宽 刘新民.妇产科手术学[M].北京:人民卫生出版社,1992.103. 被引量:51
  • 3DeVitaVT Hellman Jr S Rosenberg SA 徐从高 张茂宏 杨兴秀 译.肿瘤学原理和实践:第5版[M].济南:山东科技出版社,2001.1499-1502,2961-2962. 被引量:1
  • 4Srisomboon J,J Med Assoc Thai,1996年,79卷,423页 被引量:1
  • 5Kaser O Ikle FA 胡立 翁铭庆 李淑 译.妇科手术图谱[M].广州:广东科技出版社,1997.404-430. 被引量:2
  • 6连利娟.林巧稚妇科肿瘤学[M].3版.北京:人民卫生出版社,2001:349. 被引量:6
  • 7Kietpeerakool C,Srisomboon J,Khobjai A,et al.Complications of loop electrosurgical excision procedure for cervical neoplasia:a prospective study[J].J Med Assoc Thai,2006,89(5):583-587. 被引量:1
  • 8Mazouni C,Porcu G,Haddad O,et al.Conservative treatment of cervical intraepithelial neoplasia using a cold-knife section technique[J].Eur J Obstet Gynecol Reprod Biol,2005,121(1):86-93. 被引量:1
  • 9Cox JT.Management of cervical intraepithelial neoplasia[J].Lancet,1999,353(9156):857-859. 被引量:1
  • 10Soutter WP,Haidopoulos D,Gornall RJ,et al.Is conservative treatment for adenocarcinoma in situ of the cervix safe[J]? BJOG,2001,108(11):1184-1189. 被引量:1

共引文献605

同被引文献19

引证文献3

二级引证文献36

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部