摘要
目的评价宫颈冷刀锥切术(CKC)在宫颈上皮内瘤样病变(CIN)中的诊断及治疗价值。方法回顾性分析阴道镜下多点活检为CINⅡ～Ⅲ的患者180例,采用自身对照法,对比阴道镜下多点活检、宫颈锥切术的病理结果。结果宫颈冷刀锥切与阴道镜下宫颈多点活组织检查病理检验总的完全符合率为79.4%(143/180),术后病理分级低于术前病理分级的有19例(10.55%),高于术前病理分级的有18例(10.0%)。术后2例出血过多,宫颈管粘连病例1例。术后随访:除明确诊断宫颈癌的患者外,余患者随访至今未见肿瘤复发。结论宫颈锥切术具有诊断和治疗的双重价值,而且对于阴道镜下活检为CINⅢ级的患者,能进一步明确病变程度,是确定下一步治疗方案的不可逾越的过程。
Objective To explore the valuation of Cold Knife Conization （CKC） on diagnosis and treatment of cervical intraepithelial neoplasia. Methods A retrospective study was carried to compared the pathological results of 180 cases with cervical intraepithelial neoplasia Ⅱ～Ⅲ between cervical knife conization （CKC） and eolposcopic multiple biopsies （MB）. Results 143 cases of 180 cases （79.4%） had the same pathological reports between MB and CKC. 37 cases had different results. Among the 37 cases, 19 （ 10.55% ） cases pathological results of CKC were higher than those of MB. 18 （ 10.0% ） cases pathological results of CKC were lower than those of MB before operation. Two cases had much blood loss after operation; one case had adhesion of cervical canal. Conclusions Cervical knife conizatlon （CKC） have double valuation of diagnosis and treatment in cervical intraepithelial neoplasia. Especially to the patients who are diagnosed cervical intraepithelial neoplasiaⅢ, could confirm the disease more exactly, it is a necessary and insurmountable procedure.
出处
《齐齐哈尔医学院学报》
2013年第1期38-39,共2页
Journal of Qiqihar Medical University
