摘要
目的观察宫颈锥切术对Ⅲ级宫颈上皮内瘤样病变(CINⅢ)的诊断与指导治疗作用。方法经阴道镜活检初诊为Ⅲ级CIN患者47例行宫颈锥切术治疗,并对切除组织进行病理检查,结果提示病变程度在CINⅢ级之上的进一步采取全子宫切除或扩大的子宫切除及盆腔淋巴结清扫等治疗。结果病理检查提示CINⅢ级的25例,占53.19%;CINⅡ级的2例,占4.26%;属于原位癌及浸润癌分别有14例和6例。单纯宫颈锥切术治疗25例,全子宫切除术16例,扩大的子宫切除及盆腔淋巴结清扫等治疗6例。结论宫颈锥切术有助于进一步明确Ⅲ级CIN的确切病变程度和指导治疗。
Objective To investigate the role of cervical conization in diagnosis and guide treatment of level Ⅲ cervical intraepithelial neoplasia（ CIN Ⅲ）. Methods 47 patients with CIN Ⅲ of diagnosis by colposcopic multiple biopsies were treated with cervical conization and removal of tissue for pathological examination,results suggest that the severity level at the top of CIN Ⅲ to take further hysterectomy or hysterectomy and expanded pelvic lymph node dissection and other treatment. Results Pathological examination revealed 25 cases of CIN Ⅲ level,accounting for 53. 19%; CIN Ⅱ grade 2 cases,accounting for 4. 26%; belong to carcinoma in situ and invasive carcinoma were 14 cases and 6 cases. Conization alone treatment 25 cases,16 cases of hysterectomy and expanded pelvic lymphhadenectomy and other treatment 6 cases. Conclusion Conization help to further clarify the exact extent of disease and guiding treatment of CIN Ⅲ level.
出处
《中国妇幼卫生杂志》
2015年第3期79-80,共2页
Chinese Journal of Women and Children Health
关键词
宫颈上皮内瘤样病变
子宫颈锥切术
诊断/治疗
cervical intraepithelial neoplasia
cervical conization
diagnosis / treatment
