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近年来,宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)和宫颈癌发病率呈上升及年轻化的趋势。阴道镜在CIN和早期宫颈癌的诊断中起着非常重要的作用。但临床上常有阴道镜下活检为CIN的病例,锥切或全宫切除术后病理诊断为早浸癌或浸润癌的病例,术后因为手术范围不足,又需要补充治疗,给患者带来不必要的痛苦。近年收治的高级别CIN病例常规先行LEEP(loop electrosurgical excision procedure)锥切术或CKC术(cold knife conization),待病理诊断后,再综合考虑治疗方案。
In recent years, the incidence of cervical intraepithelial neoplasia (CIN) and cervical cancer has been increasing and becoming younger. Colposcopy plays a very important role in the diagnosis of CIN and early cervical cancer. However, clinically colposcopy biopsy for CIN cases, conization or hysterectomy pathological diagnosis of early-invasive cancer or invasive cancer cases, because of the lack of surgery after surgery, but also need to add treatment to bring patients Unnecessary pain. In recent years, high-grade CIN cases admitted to LEEP (loop electrosurgical excision procedure) conization or CKC surgery (cold knife conization), to be pathological diagnosis, and then consider the treatment plan.