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目的探讨宫颈冷刀锥切术(CKC)在宫颈上皮内瘤样病变Ⅲ级(CINⅢ)患者中的诊断和治疗价值。方法回顾性分析阴道镜下多点活检为CINⅢ级的患者23例,采用自身对照法对比阴道镜下多点活检、宫颈冷刀锥切术、子宫切除术的病理结果。结果阴道镜下多点活检对宫颈病变诊断的准确性为78.3%,而宫颈冷刀锥切对宫颈病变诊断的准确性接近为100.0%,且宫颈冷刀锥切后再行子宫切除术者术后病理71.4%降级。结论宫颈冷刀锥切术对于阴道镜下活检为CINⅢ级的患者,具有诊断和治疗的双重作用。
Objective To investigate the value of diagnosis and treatment of cervical cold knife conization (CKC) in cervical intraepithelial neoplasia grade Ⅲ (CIN Ⅲ). Methods A retrospective analysis of colposcopic multipoint biopsy CIN Ⅲ grade patients 23 cases, using self-control method colposcopy multi-point biopsy, cervical cold knife conization, hysterectomy pathology results. Results The accuracy of multi-point biopsy under colposcopy in diagnosis of cervical lesions was 78.3%, while the accuracy of cervical conization on cervical lesions was close to 100.0%, and the hysterectomy Post-pathology 71.4% downgraded. Conclusion Cervical cold knife conization for colposcopy biopsy in patients with CIN Ⅲ level, with the dual diagnosis and treatment.