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目的:探讨高频电波刀电环切宫颈的手术方法,并发症的预防,术后观察及处理。方法:2004年1～12月采用高频电波刀对62例CIN患者进行治疗,对疗效做回顾性分析。结果:术前、术后病理诊断一致的占41.94%(26/62),术后病理诊断级别上升占6.45%(4/62),术后病理诊断级别下降占51.61%(32/62)。术后3～14天出现血性分泌物及少量流血,持续至术后约16天停止。术后3个月细胞学(TCT)检查为不典型鳞状上皮细胞占12.90%(8/62),其余均正常。术后无宫颈管狭窄。术后半年复查,细胞学检查发现CIN-I2例,占3.22%(2/62)。术后1年复查CIN-I持续1例。结论:宫颈锥形切除术是治疗CIN的安全有效方法,应严格掌握手术指征,手术步骤,作好术后随访。
Objective: To discuss the surgical method of high frequency electric wave knife and electric loop circumcision, the prevention, postoperative observation and treatment of complications. Methods: From January to December 2004, 62 CIN patients were treated with high frequency electric wave knife, and the curative effect was retrospectively analyzed. Results: The preoperative and postoperative pathological diagnosis accounted for 41.94% (26/62). The postoperative pathological diagnosis level increased 6.45% (4/62). The postoperative pathological diagnosis level decreased 51.61% (32/62). Postoperative 3 to 14 days bloody discharge and a small amount of bloody until about 16 days after surgery to stop. Cytology (TCT) at 3 months postoperatively accounted for 12.90% (8/62) of atypical squamous cells, the rest were normal. No cervical stenosis after surgery. Six months after the operation, CIN-I2 was found in cytology, accounting for 3.22% (2/62). CIN-I was rechecked in 1 case after 1 year. Conclusion: Cervical conization is a safe and effective method for the treatment of CIN. Surgical indications and surgical procedures should be strictly followed and postoperative follow-up should be made.