摘要
目的 通过对宫颈原位癌的治疗,探讨宫颈原位癌的临床特点,分析用不同治疗方法对提高患者生活质量的影响情况,为今后有效治疗宫颈原位癌提供借鉴和参考.方法 选择2008年3月～2012年3月就诊于我院的82例宫颈原位癌患者,首先做LEEP分析,之后根据情况分为两种手术方式,A组采用活检加子宫全切的方法（42例）和B组活检加LEEP锥切手术（40例）,两组患者术前均行薄层液基细胞学检查,术后两组均经病理证实为宫颈原位癌.TCT、阴道镜下活检及锥切手术是正确诊断宫颈原位癌的“三阶梯”法,故在本研究中采用这种三阶梯法治疗.术后对比两种手术并发情况,对手术情况进行统计分析.结果 A组平均手术时间（52.4±11.7）min,术后出血量（74.2±19.5）mL,术后粘连7例,B组平均手术时间（39.4±8.9）min,术后出血量（37.5±9.5）mL,术后粘连2例,B组患者手术时间及出血量明显优于A组（P＜0.05）.对患者进行回访,A组和B组患者均未出现肿瘤复发情况.结论 宫颈原位癌具有隐匿性,特征不够明显.LEEP宫颈锥切术是常用的治疗方法,在治疗前应辅助以细胞学检查及阴道镜检查,对想保留生育能力的患者不行全子宫切除术,全子宫及其附件切除是在患者诊治困难且已经绝经的情况下使用.
Objective To discuss the clinical characteristics of carcinoma in situs of cervix, and to analyze the effect of different treatment methods for improving the life quality of patients by the treatment of carcinoma in situs of cervix in order to provide effective methods and references for future treatment of carcinoma in situs of cervix. Methods Eighty two cases with carcinoma in situs of cervix diagnosed in our hospital from March 2008 to March 2012 were done LEEP analysis at first, then the patients were divided into two different surgical types groups according to the patient＇s situation, 42 cases in group A used biopsy and total hysterectomy, while 40 cases in group B used biopsy and LEEP conization. The patients in two groups were done thinprep cytologic test （TCT） before surgery, and were confirmed carcinoma in situs of cervix by pathology after operation. TCT, colposcopy biopsy and conization were the ＂ three-step＂ method of the correct diagnosis of carcinoma in situs of cervix, so this research used this three-step method to treatment. The postoperative recurrence and surgical situation of two surgery were compared and statistically analyzed. Results In the group A, the average operative time was （52.4±11.7）min, postoperative blood loss was （74.2± 19.5）ml, 7 cases occurred postoperative adhesions; In the group B, the average operative time was （39.4±8.9）rain, postoperative blood loss was （37.5±9.5）mL, 2 case occurred postoperative adhesions. The operative time and blood loss in the group B were significantly better than those in the group A（P〈0.05）. The follow-up study of patients showed that the patients in the group A and group B did not appear the recurrence of tumor. Conclusion Carcinoma in situs of cervix is latent and has not clear enough characteristics. The common treatment method is LEEP conization, and the cytolgical examination and colposcopy should be assisted during the treatment process, total hysterectomy is not suit- able for the patients wanting to prese
出处
《中国现代医生》
2013年第32期134-136,共3页
China Modern Doctor
关键词
宫颈原位癌
宫颈锥切术
细胞学检查
Carcinoma in situs of cervix
Conization of cervix
Cytolgical examination
