宫腔镜宫颈锥切术治疗宫颈上皮内瘤变的临床应用  

The cinical application of hysteroscopic conization of cervix for cervical intraepithelial neoplasia(CIN)

作　　者：南燕[1] 薛翔[1] 张云萍[1] 段丽红[1] 廖娟 王桂贤[1] 王荣[1] 李洁 

机构地区：[1]西安交通大学医学院第二附属医院妇产科,陕西西安710004 [2]陕西省肿瘤医院,陕西西安710061

出　　处：《现代肿瘤医学》2008年第12期2167-2169,共3页Journal of Modern Oncology

摘　　要：目的:探讨宫腔镜宫颈锥切术治疗宫颈上皮内瘤变(CIN)的应用价值。方法:2005年3月-2006年9月施行宫腔镜宫颈锥切术治疗CINⅠ级-Ⅱ级50例,手术时间5-15min,平均8.2min,出血量5-10ml,未发生周围组织损伤。结果:50例中术后证实为CIN的41例,术后随访细胞学检查1例异常,阴道镜活检为CINⅠ,再次行宫颈电切,术后随访6个月无异常。其余患者术后随访细胞学检查正常。结论:宫腔镜下宫颈锥切术是治疗CINⅠ级-Ⅱ级的一种较好的手术方式。Objective：To explore the conization of cervix with hysteroscopy in diagnosis and treatment for cervical intraepithelial neoplasia（CIN）. Methods ：There were 50 eases of conization of cervix with hysteroscopy for CIN Ⅰ -Ⅱ and follow - up after surgery. Results ：To apply the hysteroscopie conization of cervix for cervical intraepithelial ne- oplasia（ CIN）, operation time was 5 - 15rain, meantime 8.2min, blood loss 5 - 10ml, no surrounding tissue damage and few operative complications and postoperative complications, Among 50 cases, the final diagnosis of 41 cases were CIN. One case was abnormal in cytological examination during follow - up, given hysteroscopic conization of cervix a- gain, then no recurrence after 6 months follow - up , other cases of cytological examination were normal in follow - up. Conclusion ： Hysteroscopic eonization of cervix is a good operation methwd for cervical intraepithelial neoplasia（CIN）Ⅰ - Ⅱ degree.

关 键 词：CIN 宫腔镜宫颈锥切术 

分 类 号：R730.56[医药卫生—肿瘤]