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目的评价宫腔镜行TCRC(宫颈环状锥形切除术),同时达到治疗和诊断宫颈病变的临床价值。方法对经妇科细胞学、阴道镜及活检初步诊断为各种宫颈病变的30例患者,采用TCRC治疗,切除全部宫颈移行区。切除组织全部送病理。观察手术时间、出血量、病人反应及术后修复情况。结果TCRC治疗成功率为100%。手术时间为5min~25min,出血量5ml~25ml。无继发性出血和感染发生。结论TCRC治疗宫颈病变操作安全、成功率高,尤其适用于CIN(宫颈上皮内瘤样病变)。
Objective To evaluate the clinical value of hysteroscopic TCRC (Cervical ring taper resection) and meanwhile treat and diagnose cervical lesions. Methods TCRC was performed on 30 cases of primary cervical lesions diagnosed by gynecology cytology, colposcopy and biopsy, and all the cervical metastases were excised. All resection organizations sent pathology. Observed the operation time, blood loss, patient response and postoperative repair. Results TCRC treatment success rate was 100%. Surgery time is 5min ~ 25min, the amount of bleeding 5ml ~ 25ml. No secondary bleeding and infection occurred. Conclusion TCRC is safe and safe in treating cervical lesions with a high success rate, especially for CIN (cervical intraepithelial neoplasia).