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宫颈锥切早就是公认的诊断和治疗宫颈上皮内瘤(CIN)的方法.锥切可并发出血、狭窄和不孕等症.为此,作者观察分析了1976~1982年问的975例锥切术中记录完整的915例.其中788例(86%)测量锥切标本的长度及其底面宽度.锥切前后阴道镜检查684例.重点讨论锥切并发出血、宫颈狭窄与锥切范围、以往阴道镜检查的关系.本组有出血121例(12.8%),原发性(锥切24小时内)出血52例,继发性(锥切24小时之后)出血69例,锥切12天后未再出血.30例需输血,82例需全麻下重新缝合与填塞,9例立即切除子宫.宫颈狭窄153例(17%),于随访中发现.其中76例
Cervical conization has long been recognized as a method of diagnosis and treatment of cervical intraepithelial neoplasia (CIN) .Concision may be complicated by bleeding, stenosis and infertility, etc. To this end, the author observed and analyzed from 1976 to 1982, 975 Cone Intraoperative records of a complete 915 cases of which 788 cases (86%) measuring the length of conical specimens and the width of the bottom.Concision before and after colposcopy 684 cases, focusing on conization and bleeding, cervical stenosis and conization range, in the past Colposcopy in this group of 121 patients (12.8%), primary (Cone 24 hours) bleeding in 52 cases, secondary (Cone 24 hours later) bleeding in 69 cases, 12 days after conization did not Rebleeding.30 cases required blood transfusion, 82 cases under general anesthesia to re-suture and stuffing, 9 cases of immediate removal of the uterus.Cearrow stenosis in 153 cases (17%), were found at follow-up.Among them 76 cases