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目的:探讨宫颈上皮内瘤样病变(CIN)的诊断及治疗方法。方法:对2007年10月～2009年10月丽水市松阳县中医院收治的93例CIN患者的临床资料进行回顾性分析。结果:阴道镜检查与液基细胞学检查诊断符合率均明显高于宫颈涂片巴氏分级法,差异具有统计学意义(P<0.05)。并且阴道镜检查诊断符合率明显优于液基细胞学检测法,差异有统计学意义(P<0.05)。93例患者物理治疗6例,手术治疗87例,治疗后86例无异常发现,治愈率为92.5%。手术治疗患者术后复发4例,切缘无病变累及者1例,有病变累及者3例;5例出现术中、术后下腹痛,持续时间较短,均自行缓解。结论:阴道镜检查是诊断CIN的有效方法,治疗方法的选择应综合考虑患者的年龄、婚育状况、病变程度、范围等因素,做到治疗个体化。
Objective: To investigate the diagnosis and treatment of cervical intraepithelial neoplasia (CIN). Methods: The clinical data of 93 CIN patients admitted to Songyang Hospital of Traditional Chinese Medicine from October 2007 to October 2009 were analyzed retrospectively. Results: The coincidence rates of colposcopy and liquid-based cytology were significantly higher than Pap smear of cervical smears (P <0.05). And colposcopy diagnosis was significantly better than the liquid-based cytology detection method, the difference was statistically significant (P <0.05). 93 cases of physical therapy in 6 cases, 87 cases of surgical treatment, 86 cases were found no abnormalities after treatment, the cure rate was 92.5%. Surgical treatment of patients relapsed after surgery in 4 cases, no margin of lesions in 1 case, 3 cases of lesions involved; 5 cases of intraoperative and postoperative abdominal pain, short duration, were relieved. Conclusion: Colposcopy is an effective method for the diagnosis of CIN. The choice of treatment should be based on such factors as the patient’s age, the status of marriage and childbearing, the degree of lesion and the scope of the treatment.