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宫颈上皮肉瘤(CIN)可行局部切除或部分切除治疗。切除的优点是可行组织学检查,保证完全切除病变及排除浸润癌。传统的冷刀锥切需住院及全麻,且术后出血、感染、宫颈狭窄等并发症多。电灼、冷冻及激光汽化等局部部分切除不需要麻醉,可在门诊施术,并发症亦少。特别是激光近期并发症率低,但其对以后妊娠的影响尚未见评价。为此对351例经阴道镜检、活检及颈管搔刮病理确诊的宫颈CIN行显微外科激光锥切后(6例失访,79例怀孕)首次分娩活婴的56例与相同产次、年龄(±3岁)的112例相对照。超过22孕周者主要以
Cervical sarcoma (CIN) feasible partial or partial resection of the treatment. The advantage of resection is the feasibility of histological examination, to ensure complete excision of the lesion and exclude invasive cancer. Traditional cold knife conization required hospitalization and general anesthesia, and postoperative bleeding, infection, cervical stenosis and other complications. Electrocautery, freezing and laser vaporization and other partial partial excision do not need anesthesia, in outpatient surgery, complications are less. In particular, the recent laser complications rate is low, but its impact on future pregnancy has not yet been evaluated. To this end, 351 cases of vaginal microscopy, biopsy and cervical spondylosis diagnosed cervical CIN microscopic surgical laser conization (6 cases lost, 79 cases of pregnancy) first delivery of live infants 56 cases with the same production , 112 cases of age (± 3 years old) contrast. More than 22 weeks pregnant mainly