宫腔镜宫颈锥形电切术治疗宫颈病变391例临床观察  

Clinical study about hysteroscopic cercical cone-electrocision on 391 women with cervical diseases

作　　者：艾星子.艾里 丁岩[1] 沈谷群[1] 马俊旗[1] 王玉英[1] 

机构地区：[1]新疆医科大学第一附属医院妇科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2004年第6期611-613,共3页Journal of Xinjiang Medical University

摘　　要：目的 :评价宫腔镜宫颈锥形电切术在宫颈病变中的诊断和治疗价值。 方法 :回顾分析 391例宫腔镜宫颈锥切术患者的细胞学、阴道镜检查及活检结果、宫颈锥切病理及子宫切除术的病理结果 ,同时分析了并发症的防治及随诊的结果。 结果 :宫颈锥切术的病理结果与阴道镜活检的病理结果相符者 2 4 1例 (6 1.6 % ) ,较活检病理结果重者 11例 (2 .8% ) ,较活检病理结果轻者 136例 (34.8% ) ,不相符 3例 ,其中 14 3例为宫颈上皮内瘤变 (CIN ) ,术后每 3个月随诊宫颈细胞学检查均阴性。 结论 :宫腔镜宫颈锥切术在宫颈病变的诊断中能明确病变程度 ,决定下一步处理方式 ,对年轻有生育要求的CIN患者是一个合适的治疗方法。Objective: To eveluate the value of diagnosis an d therapy of the hysteroscopic cervival cone-electrocision on cervical diseases. Methods: Descriptive retrospective study, between 1999 and 2004, 391 women with cervical diseases were treated at the First Affiliated Hospital of Xinjiang Medical University with comparing their cervical cytology and their pathological results of colposcopic biopsy and cervical metuliform. Results: The rate of pathological conformity between cervical electrocision and vaginoscopy was 61.6%(241/391). TCT of 143 women with cervical intraepithelial neoplasia(CIN) all were negative after electrocision per 3 months. Conclusions: Women with cervical diseases,especially CIN, now have a number of treatment options, our study showed that hysteroscopic cervical cone-electrocision can identify the stage of the lesion and determin the next management,especailly for the patients who want to preserve their fertility.

关 键 词：宫腔镜 宫颈锥形电切术 宫颈病变 CIN 诊断 治疗 

分 类 号：R713[医药卫生—妇产科学] R711.74[医药卫生—临床医学]