子宫颈锥切术在宫颈微小浸润癌诊断和治疗中的价值  

Evaluation of cervical conization in diagnosis and therapy of micro -invasive carcinoma of cervix

作　　者：邱华娟[1] 纪燕琴[1] 黄凤英[1] 

机构地区：[1]惠州市中心人民医院妇产科,广东惠州516001

出　　处：《中外医学研究》2010年第13期12-13,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨宫颈锥切术在宫颈微小浸润癌诊断和治疗中的价值。方法对笔者所在医院2002年1月-2008年6月51例宫颈微小浸润癌资料进行回顾性分析，采用自身对照法，对比研究宫颈锥切术和阴道镜下多点活检的病理检查结果。结果宫颈锥切术与阴道镜下多点活检的病理检查结果完全符合者仅22例（43．14％）。宫颈锥切术后，因发现早期浸润癌，行全子宫切除术者19例，32例患者宫颈锥切术后密切随诊，保留了生育功能。在平均为19．3个月的随诊期内，无一例出现宫颈细胞学检查异常。结论宫颈锥切术在CIN治疗中具有举足轻重的重要价值，通过颈锥切确诊其病变范围，是不可代替的诊疗手段。Objective To explore the value of cervical conizatlon in the diagnosis and therapy of patients with micro - invasive carcino- ma of cervix （MIC）. Methods From Jan 2002 to Jun 2008 forty eight patients diagnosed with MIC were retrospectively analyzed focusing on the comparative study in pathology between cerical conization and colposcopic multiple biopsies. Results Of the 48 patients, there was a correlation in pathology between cervical conization and colposcopic muhiple biopsies in only 22 eases （43.14%）. After eonization radical hysterectomy was performed in 19 cases because of early invasive carcinoma,32 cases were reserved the reproductive function by cervical conization and followed up for mean 19. 3 months. During follow - up time, no cytology abnormality was detected. Conclusion Cervical conization plays a very important role in diagnosis and treatment of CIN,identifies the lesion range.

关 键 词：宫颈微小浸润癌 宫颈锥切术 阴道镜检查 

分 类 号：R713.42[医药卫生—妇产科学]