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目的探讨宫颈冷刀锥切在宫颈上皮内瘤变及早期宫颈癌治疗中的临床价值。方法收集2011年6月至2014年6月在本院同时进行阴道镜活检和宫颈冷刀锥切的65患者的临床资料进行回顾性分析,观察比较两种诊断方法在宫颈上皮内瘤变和早期宫颈癌诊断中的差异。结果阴道镜活检同宫颈冷刀锥切病理检查符合率为56.92%,不相符率为43.08%,宫颈冷刀锥切术病理检查加重患者12例,占总患者数的18.46%,浸润癌漏诊率为3.08%。结论宫颈冷刀锥切术是临床诊断宫颈上皮内瘤变及早期宫颈癌的重要方法,同时也是有效的治疗手段,宫颈冷刀锥切在宫颈上皮内瘤变及早期宫颈癌的诊断治疗中具有重要的临床意义,值得推广应用。
Objective To investigate the clinical value of cervical cold knife conization in the treatment of cervical intraepithelial neoplasia and early cervical cancer. Methods The clinical data of 65 patients who underwent colposcopy biopsy and conization of cervical cold knife at the same time from June 2011 to June 2014 were retrospectively analyzed. The clinical data of two diagnostic methods in cervical intraepithelial neoplasia and early stage Differences in the diagnosis of cervical cancer. Results The coincidence rate of colposcopy biopsy with conization of cervical cold knife conization was 56.92%, the incompatibility rate was 43.08%. Twelve cases were diagnosed by cold knife conization, accounting for 18.46% of the total number of patients. The misdiagnosis rate of invasive carcinoma Is 3.08%. Conclusions Cold knife conization is an important method for clinical diagnosis of cervical intraepithelial neoplasia and early cervical cancer. It is also an effective treatment method. Cold knife conization in the diagnosis and treatment of cervical intraepithelial neoplasia and early cervical cancer Important clinical significance, it is worth promoting application.