宫颈锥切术在有生育要求的宫颈原位癌患者治疗中的价值探讨  

作　　者：李晓培[1] 常玉霞[1] 

机构地区：[1]漯河医学高等专科学校第二附属医院妇产科,462000

出　　处：《当代医学》2012年第4期34-35,共2页Contemporary Medicine

摘　　要：目的探讨宫颈锥切术在有生育要求的宫颈原位癌患者治疗中的应用与价值。方法回顾性分析本院收治的40例有生育要求的年轻宫颈原位癌患者的病例资料,术前均经阴道镜检查证实,均接受了宫颈电刀锥切手术治疗。结果术后全部患者密切随诊,39例(92.5%)未见有肿瘤复发,正常妊娠。1例(2.5%)患者复发,接受全子宫切除手术,恢复良好。结论对于有生育要求的年轻宫颈原位癌患者可行单纯的宫颈锥切手术治疗,以保留生育功能,效果良好。对于术后复发者可改行全子宫切除手术治疗。Objective To investigate the application and value of the cervical conization in the treatment of patients of cervical carcinoma in situ with fertility requirements. Methods A retrospective analysis of clinical data from 40 young cases of cervical carcinoma in situ with fertility requirements, All of the cases were preoperatively confirmed by colposcopy and underwent electrosurgical conization of cervical surgery. Results All patients were followed up closely after surgery, 39 cases （92.5%） not recurrent again and pregnant normally. 1 case（2.5%） relapsed, received total hysterectomy surgery, she had a good recovery. Conclusion For the young patients of cervical carcinoma in situ with fertility requirements can be treated by simple surgical conization to preserve fertility. It had a good result. The hysterectomy may be diverted for the patient of tumor recurrence after surgery.

关 键 词：宫颈原位癌 宫颈锥切手术 

分 类 号：R737.33[医药卫生—肿瘤]