宫颈锥切术后切缘呈阳性的临床处理建议  

Clinical treatment suggestion on positive resection surgical margin after cervical conization

作　　者：赖爱鸾[1] 

机构地区：[1]首都医科大学附属复兴医院妇产科,北京100038

出　　处：《中华妇幼临床医学杂志（电子版）》2016年第1期20-23,共4页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

摘　　要：宫颈锥切术是目前治疗宫颈上皮内瘤变（CIN）Ⅱ~Ⅲ的标准术式。许多研究证实,宫颈锥切术后切缘呈阳性与术后病变残留及宫颈病变复发相关。但是,对于宫颈锥切术后切缘呈阳性应如何处理,目前专家意见尚未达成一致。笔者拟总结国内外专家学者对于宫颈锥切术后切缘呈阳性的临床处理原则及治疗方法,旨在为临床医师对宫颈锥切术后切缘呈阳性的治疗提供参考。Cervical conization is the standard surgical procedure on cervical intraepithelial neoplasia（CIN）Ⅱ-Ⅲ.Many studies proved that positive resection margin after cervical conization is correlated with high risk of recurrence of cervical dysplasia and residual of lesions.However,there is no consensus among experts on treatment with positive resection margins after cervical conization so far.This paper evaluates current managements on patients with positive surgical margin after cervical conization in order to find out effective treatments on this condition.

关 键 词：宫颈上皮内瘤样病变 子宫颈锥形切除术 病变残留 切缘呈阳性 活组织检查 女性 

分 类 号：R737.33[医药卫生—肿瘤]