摘要
目的:探究宫颈冷刀锥切术在宫颈CIN诊治中的临床应用价值。方法:收治宫颈CIN患者47例,行宫颈冷刀锥切术,锥切术后的病理检查结果与阴道镜下活检结果相比较,分析锥切术在宫颈病变治疗中的临床疗效。结果:宫颈冷刀锥切术后病理结果与阴道镜下活检完全符合33例(70.2%),其余14例(29.8%)不符合。其中1例为早期浸润癌,二次行广泛子宫切除+盆腔淋巴结清扫术。4例为原位癌,二次行子宫全切术。结论:宫颈冷刀锥切术在宫颈上皮内瘤变诊断方面比阴道镜下多点活检更准确,尤其是宫颈管内的病变,阴道镜下多点活检不能了解颈管内的病变情况。同时它也是一种有效的治疗手段,能保留生育功能、早期防治宫颈癌等优点。
Objective:To discuss the clinical application value of cervical cold knife conization in the diagnosis and treatment of cervical CIN.Methods:To admit 47 cases of patients with cervical CIN from April 2008 to April 2012,patients were treated with cervical cold knife conization,conization postoperative pathological examination results and colposcopy biopsy results were compared,analysze the clinical efficacy of cold knife conization in the treatment of cervical lesions with.Results:Conization postoperative pathological examination results and colposcopy biopsy results exact match was 33 cases(70.2%),and 14cases(29.8%)were not meet.1 case was early invasive carcinoma,two times underwent extensive hysterectomy and pelvic lymphadenectomy.4 cases were preinvasive carcinoma,two times underwent uterine full cut method.Conclusion:In the diagnosis of cervical intraepithelial neoplasia, cervical cold knife conization than multiple punch biopsy under colposcope is more accurate,especially in the cervical canal lesions,multiple punch biopsy under colposcope cannot understand the neck tube lesions.At the same time,it is also an effective means of treatment,can preserve fertility,early prevention and treatment of cervical cancer and other advantages,is worth the clinical promotion.
关键词
宫颈冷刀锥切术
宫颈CIN
临床应用
Cervical cold knife conization
Cervical CIN
Clinical application
