论文部分内容阅读
目的探讨冷刀锥切术在宫颈病变诊断与治疗中的临床价值。方法回顾性分析2006年1月至2010年12月在我院行宫颈锥切的患者128例临床资料,进行比较。结果宫颈锥切术后与术前多点活检病理结果相符者104例(81.3%),不相符者24例(18.7%),其中级别升高17例(13.2%),级别降低7例(5.4%);锥切术后行二次手术者26例,切缘阳性者18例,浸润癌3例,原位癌5例;21例术后病理无病变(80.8%),2例病理降低(7.7%),3例与再次手术前病理相符(11.5%)。结论宫颈冷刀锥切与术前宫颈多点病理比较,13.2%级别上升,冷刀锥切可以弥补宫颈多点活检的不足,提高宫颈病变诊断的准确率,宫颈锥切对术前诊断及确定手术范围有一定临床价值。
Objective To investigate the clinical value of cold knife conization in the diagnosis and treatment of cervical lesions. Methods A retrospective analysis of 128 patients with cervical conization in our hospital from January 2006 to December 2010 was performed and compared. Results There were 104 cases (81.3%) and 24 cases (18.7%) who did not conform with the preoperative biopsy results after cervical conization. Among them, 17 cases (13.2%) were elevated and 7 cases (5.4) %); Conical resection in 26 cases of second surgery, positive margins in 18 cases, invasive carcinoma in 3 cases, in situ carcinoma in 5 cases; 21 cases of postoperative pathological lesions (80.8%), 2 cases of pathological reduction 7.7%), 3 cases were consistent with the pathological changes before reoperation (11.5%). Conclusion Cervical cold knife conization and preoperative cervical multipoint pathology, 13.2% level rise, cold knife conization can make up for the lack of multiple cervical biopsy, improve the diagnostic accuracy of cervical lesions, conization of the cervix on the preoperative diagnosis and determination The scope of surgery has some clinical value.