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目的探讨宫颈电刀锥切术在诊治宫颈上皮内瘤变(CIN)及早期浸润癌中的临床价值。方法回顾性分析2005年8月至2012年4月121例宫颈病变患者的临床资料。结果 121例患者,术前活体组织病理发现CINⅠ～Ⅱ级82例,CINⅢ级39例,均行宫颈锥切术。术后病理阴性15例,级别升高9例,其中早期浸润癌IA1期2例,浸润癌IB1期1例,该3例再次行全子宫切除术+盆腔淋巴结清扫。结论宫颈锥切术是一种明确诊断和治疗CIN的有效而理想的方法,建议对CIN及微浸润癌的患者根据年龄及保留生育功能的要求、宫颈上皮内瘤变分级情况,综合分析确定处理方案。
Objective To discuss the clinical value of cervical electrocautery conization in the diagnosis and treatment of cervical intraepithelial neoplasia (CIN) and early invasive carcinoma. Methods The clinical data of 121 patients with cervical lesions from August 2005 to April 2012 were retrospectively analyzed. RESULTS: In 121 patients, preoperative biopsy revealed 82 CIN-II grades and 39 CIN-III grades. All patients underwent cervical conization. There were 15 cases with pathological negative results and 9 cases with elevated grades, including 2 cases of early invasive carcinoma at stage IA1 and 1 case of invasive carcinoma at stage IB1. The 3 cases underwent complete hysterectomy plus pelvic lymph node dissection. Conclusion Cervical conization is an effective and ideal method for the definite diagnosis and treatment of CIN. It is recommended that patients with CIN and micro-invasive cancer should be analyzed and determined according to their age and reproductive function requirements, and the grade of cervical intraepithelial neoplasia. Program.