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本文对宫颈原位癌151例和早期浸润癌42例进行分析。阴道镜下选点取材活检和碘不染区多点活检分别与锥切和子宫切除病理对照。前二者的癌漏诊率相近,为5.5%和4.3%;锥切为1.5%,但需住院手术,併发症较多?馊竞蠖嗟慊罴彀踩?可在门诊和基层使用,无需特殊设备。如同时刮取颈管高处能减少漏诊。一般情况下可用以代替锥切。治疗以手术为主。151例原位癌中单纯锥切治疗16例,2例复发;108例诊断性锥切后子宫切除,9.2%仍有残余病变。所以希望保留子宫者,锥切范围宜扩大并加强随诊。此外对早期浸润<1毫米,1～3毫米,3～5毫米者提出处理意见。
In this paper, 151 cases of cervical carcinoma in situ and 42 cases of early invasive carcinoma were analyzed. Colposcopy selected point biopsy and iodine-free multi-point biopsy were condoned and hysterectomy pathological control. The first two have a similar rate of missed diagnosis of cancer, 5.5% and 4.3%; conic cut 1.5%, but need hospitalization, complications more than 馊 competing 蠖 慊 罴 罴 dislocation can be used in outpatient and primary care, without Special equipment. Scraping the neck height at the same time can reduce the missed diagnosis. Under normal circumstances can be used instead of cone cut. The main treatment is surgery. Of the 151 cases of carcinoma in situ, 16 cases were treated by simple conization, 2 cases were recurrent; 108 cases were diagnosed by hysterectomy after conization and 9.2% remained residual disease. So I hope to retain the uterus, conization range should be expanded and follow up. In addition to the early infiltration <1 mm, 1 to 3 mm, 3 to 5 mm who put forward suggestions.