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目的 :评价宫腔镜宫颈锥形电切术在宫颈病变中的诊断和治疗价值。 方法 :回顾分析 391例宫腔镜宫颈锥切术患者的细胞学、阴道镜检查及活检结果、宫颈锥切病理及子宫切除术的病理结果 ,同时分析了并发症的防治及随诊的结果。 结果 :宫颈锥切术的病理结果与阴道镜活检的病理结果相符者 2 4 1例 (6 1.6 % ) ,较活检病理结果重者 11例 (2 .8% ) ,较活检病理结果轻者 136例 (34.8% ) ,不相符 3例 ,其中 14 3例为宫颈上皮内瘤变 (CIN ) ,术后每 3个月随诊宫颈细胞学检查均阴性。 结论 :宫腔镜宫颈锥切术在宫颈病变的诊断中能明确病变程度 ,决定下一步处理方式 ,对年轻有生育要求的CIN患者是一个合适的治疗方法。
Objective: To evaluate the value of hysteroscopic cervical conization in the diagnosis and treatment of cervical lesions. Methods: Cytology, colposcopy and biopsy results, pathology of cervical conization and hysterectomy were retrospectively analyzed in 391 cases of hysteroscopic cervical conization. The prevention and treatment of complications and the follow-up results were also analyzed. Results: The pathological results of cervical conectomy coincided with the pathological findings of colposcopy biopsy in 2141 cases (61.6%), which was 11 cases (2. 8%) more severe than the biopsy results and less than the biopsy findings Cases (34.8%), 3 cases did not match, of which 14 3 cases of cervical intraepithelial neoplasia (CIN), every 3 months after cervical cytological examination were negative. Conclusion: Hysteroscopic cervical conization in the diagnosis of cervical lesions can determine the degree of disease, determine the next step of treatment, young patients with reproductive requirements of CIN is a suitable treatment.