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本文讨论了在宫颈癌前病变及宫颈癌的早期阶段应用锥切是否能切至健康组织,间变组织遗留宫颈残端的性质和频率。作者分析的材料包括1969～1975年间1,000例诊断性锥切病例以及1976年又增加的219例。经分析平均64%的病例锥切达到健康组织,8.5%的病例被认为有可疑的病变未被完全切除,可疑的病变是指在切除边缘上存在着一些性质不明的上皮变化,经锥切技术改进及术前抗炎治疗后此种病变的出现即可大为减少,故可认为这些病变是由于操作或炎症所造成。还有27.5%的病例则在宫颈残端仍可见到有残留病变存在,这与文献报道相符,Burghardt报告有25.6%发生残留,而Ober等报告为18%,Hillemanns报告的病例
This article discusses the use of conization in early stages of cervical precancerous lesions and cervical cancer to cut into healthy tissues and the nature and frequency of cervical residual stumps. The author’s analysis includes 1,000 cases of diagnostic conization between 1969 and 1975 and an additional 219 cases in 1976. After an average of 64% of conic sections were analyzed to reach healthy tissues, 8.5% of the cases were considered suspicious lesions not completely resected. Suspicious lesions were defined as some unknown epithelial changes on the resected margin. Cone-cutting techniques Improvement and preoperative anti-inflammatory treatment of such lesions can be greatly reduced, it can be considered that these lesions are due to manipulation or inflammation caused. In 27.5% of the cases, residual lesions were still visible at the stump of the cervix. This is in agreement with the literature, with Burghardt reporting 25.6% of residual disease and Ober et al. Reporting 18% of cases reported by Hillemanns