宫颈冷刀锥切术在宫颈上皮内瘤变Ⅲ级诊治中的价值  

Clinical value of cold knife conization (CKC) on diagnoisis and treatment of cervical intraepithelial neoplasia Ⅲ

作　　者：曹兰琴[1] 黎欣[1] 张怡[1] 李新国[1] 张瑜[1] 

机构地区：[1]中南大学湘雅医院妇产科,湖南长沙410008

出　　处：《中国现代医学杂志》2009年第14期2211-2213,共3页China Journal of Modern Medicine

摘　　要：目的探讨宫颈冷刀锥切术(cold knife conization,CKC)在宫颈上皮内瘤变Ⅲ级(cervical intraep-ithelial neoplasia,CINⅢ)诊断及治疗中的临床意义。方法对该院2005～2007年住院治疗的45例CINⅢ行宫颈冷刀锥切术的患者的临床资料进行回顾性分析。结果术后病理检查报告为CINⅢ的31例,占68.9%,术后病理降级的11例,占24.4%,术后病理升级的3例,占6.7%。术后的主要并发症为阴道流血。40例患者随访6～30个月,1例复发。结论宫颈冷刀锥切术在CINⅢ级的诊治中仍有其优势。[Objective] To investigate the clinical value of cold knife conization （CKC） on diagnosis and treatment of cervical intraepithelial neoplasia In. [Method] Forty-five cases of CIN Ⅲ who received operation of CKC were analyzed retrospectively. [Rusults] Thirty-one cases （68.9%） showed histological diagnosis of CIN Ⅲ. There were eleven cases （24.4%） whose histological diagnosis were lower than ever diagnosis. The histological diagnosis of three cases （6.7%） were higher than ever diagnosis. The main complication after operation is vaginal bleeding. Forty cases were closely followed up after operation （6-30 months）. One case recurred. [Conclusions] CKC has significant advantage on diagnosis and treatment of cervical intraepithelial neoplasia Ⅲ.

关 键 词：颈上皮内瘤变Ⅲ级 宫颈冷刀锥切术 治疗 

分 类 号：R711.74[医药卫生—妇产科学]