摘要
目的探讨宫颈锥切术在阴道镜下多点活检宫颈上皮内瘤变(CIN)Ⅲ级的诊断和治疗价值。方法回顾性分析阴道镜下多点活检和宫颈锥切术的患者36例,采用自身对照法,对比研究宫颈锥切术和阴道镜下多点活检、子宫切除术及广泛子宫切除术的病理结果。结果阴道镜下多点活检CINⅢ级行宫颈锥切术,病理报告结果CINⅢ级25例,占69.4%,病理降级8例(CINⅠ～Ⅱ、慢性宫颈炎),占22.2%;病理升级3例,占8.3%(宫颈浸润癌1例,早期浸润癌2例)。结论对于阴道镜下多点活检CINⅢ级的患者,宫颈锥切术是确定下一步治疗方案不可逾越的过程。
Objective To research on the clinical value of conization of cervix in CINⅢ by pathologic histology with the help of colposcope. Methods 36 cases of CINⅢ were analysed by pathologic histology with the help of colposcope. Results Of all 36 cases diagnosed as CIN Ⅲ , there were 3 cases diagnosed as invasive carcinoma and microinvasive carcinoma,25 cases diagnosed as CIN Ⅲ , 8 cases diagnosed as CINⅢ , and chronic cervicitis after eonization of cervix. Conclusion Conization of cervix should be taken for CINⅢ by pathologic histology with the help of colposcope.
出处
《中国基层医药》
CAS
2007年第11期1769-1770,共2页
Chinese Journal of Primary Medicine and Pharmacy
