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目的:分析子宫颈锥切术在子宫颈上皮内瘤变诊断和治疗中的价值。方法:选取我院2008年4月至2011年10月间收治的54名行子宫颈锥切术的子宫颈上皮内瘤变患者作为研究对象,采用回顾性的方式分析患者的临床资料,总结诊断和治疗过程,并对病理检查结果和子宫颈锥切术结果进行对比分析。结果:通过分析数据结果发现,阴道镜下多点活检的病理检查与宫颈锥切术结果存在较大的差异,有26例完全符合,占总数的48.15%;另外28例不符合,占总数的51.85%。宫颈锥切术后,有3例患者因发现早期浸润癌而在上级医院实施广泛子宫切除术,占总数的5.56%,有32名患者保留了生育功能,占总数的59.26%。有30例患者术后发生出血,经对症治疗后得到痊愈。对患者实施为期两年的随访发现,所有患者宫颈细胞学检查未发现异常,其中有2名患者妊娠并已分娩。结论:子宫颈锥切术在子宫颈上皮内瘤变诊断和治疗中具有非常重要的价值,尤其是在宫颈上皮内瘤变并存在保留生育功能需求患者的治疗中,并且它不能被阴道镜下多点活检取代。
Objective: To analyze the value of cervical conization in the diagnosis and treatment of cervical intraepithelial neoplasia. Methods: Fifty-four patients with cervical intraepithelial neoplasia who underwent cervical conization in our hospital from April 2008 to October 2011 were selected as the research object. The clinical data of the patients were retrospectively analyzed and the diagnosis was summarized And treatment process, and pathological examination results and cervical conization results were compared. Results: Through the analysis of the data, it was found that there was a great difference between colposcopy biopsy and cervical conization in 26 cases, accounting for 48.15% of the total. The other 28 cases did not conform to the total 51.85%. After conization of the cervix, 3 patients had extensive hysterectomy in the superior hospital due to early invasive carcinoma, accounting for 5.56% of the total. 32 patients retained fertility, accounting for 59.26% of the total. Thirty patients had hemorrhage after surgery and were cured after symptomatic treatment. A two-year follow-up of the patients found no abnormal cervical cytology in all patients, of whom 2 were pregnant and had given birth. CONCLUSIONS: Conization of the cervix is of great value in the diagnosis and treatment of cervical intraepithelial neoplasia, especially in the treatment of patients with cervical intraepithelial neoplasia who are in need of preserving reproductive function, and it can not be treated with colposcopy Multi-point biopsy replaced.