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子宫切除前行宫颈锥形切除快速冰冻切片检查是诊断宫颈上皮肉瘤样变(CIN)Ⅲ的可靠方法。 锥形切除快速冰冻切片检查的指征:①阴道镜检查不满意;②各种CIN宫颈内膜刮除术阴性;③细胞学检查为恶性或无组织学检查的CIN;④广泛的CIN Ⅲ损害;⑤阴道镜下直接宫颈活检为镜下早期浸润癌。 161例择期子宫切除的病人术前行宫颈锥形切除并行快速病理切片检查,2例子宫内膜癌除外,对159例病人进行分析。年龄23～72岁,平均38岁。产次0～12次,平均3.3次。
A rapid cone biopsy of the cervix before hysterectomy is a reliable method for diagnosing cervical epithelial sarcoma-like lesions (CIN) III. The indications for the rapid frozen section examination with conical resection: 1 unsatisfactory with colposcopy; 2 negative for various CIN endocervical curettage; 3 cytological examination for malignant or no histological CIN; 4 extensive CIN III damage ;5 Direct cervical biopsy under colposcopy is an early invasive cancer under the microscope. In 161 patients undergoing elective hysterectomy, cervical conusectomy and rapid pathological biopsy were performed before surgery. Except for 2 cases of endometrial cancer, 159 patients were analyzed. Ages 23 to 72, an average of 38 years old. 0 to 12 production times, an average of 3.3 times.