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目的探讨宫颈锥切术的手术方法,总结临床经验以提高自身手术水平。方法记录并回顾性分析2010年7月-2012年3月我科收入的68例因宫颈疾病需行宫颈锥切术患者的资料。结果本组68例患者中治愈67例,无效1例。手术中2例患者因快速冰冻病理检验为宫颈早期浸润癌及浸润癌而行扩大子宫切除术;随访半年无感染、子宫颈管狭窄发生,1例因轻度宫颈糜烂而无效。结论宫颈锥切术可以治疗宫颈病变如宫颈上皮内瘤样病变(CIN)、重度慢性宫颈炎等,同时又是一种临床诊断方法,值得临床上广泛应用。
Objective To explore the surgical methods of cervical conization, summarize clinical experience to improve their own surgical level. Methods The data of 68 patients with cervix conization who underwent cervical conization in our department from July 2010 to March 2012 were recorded and retrospectively analyzed. Results The group of 68 patients cured 67 cases, 1 case of ineffective. Two cases of surgery due to rapid frozen pathological examination for early invasive carcinoma of the cervix and invasive carcinoma and hysterectomy; follow-up six months without infection, cervical stenosis occurred, 1 case of mild cervical erosion and ineffective. Conclusions Cervical conization can treat cervical lesions such as cervical intraepithelial neoplasia (CIN), severe chronic cervicitis, but also a clinical diagnostic method, it is widely used clinically.