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宫颈原位癌及较不严重的宫颈上皮内赘生物的处理,在世界不同地区、不同机构是各异的。在北欧国家,应用宫颈局部切除术,一般宫颈锥形切除术是很久以来常用的治疗方法。根据宫颈愿位癌的发生率在25—29岁时达到高峰,轻度的上皮内赘生物,甚至可以发生于更年青者,以及自从广泛应用脱落细胞筛选法后,在越来越多的年轻妇女中找到了赘生物,因而决定了采用这种治疗方法。作者认为处理宫颈原位癌时,应能获得足够组织以作出诊断,同时能在给生殖器官最少损伤的条件下给予最大的治愈机会。本文报道343例术前诊断可疑或肯定宫颈原位癌的病例,用宫颈锥形切除术治疗。全子宫切除术仅在特殊病例作为附加治疗。
Cervical carcinoma in situ and less severe cervical epithelial neoplasms in different parts of the world, different agencies are different. In northern European countries, the application of local excision of the cervix, the general cervical conization is a long time since the commonly used treatment. The incidence of cancer at the age of 25-29 culminates with cervical aspiration. Mild intraepithelial neoplasia can occur even in younger patients and since the widespread use of exfoliated cell-based screening methods, more and more young Found in the women of vegetation, thus deciding the use of this treatment. The authors believe that when dealing with carcinoma in situ of the cervix, enough tissue should be available for a diagnosis and maximum healing opportunities given minimal damage to the genitals. This article reports 343 cases of preoperative diagnosis of suspected or confirmed cervical carcinoma in situ, with conization of the cervix. Hysterectomy is only used as an additional treatment in special cases.