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宫颈锥切术对宫颈上皮内瘤变Ⅱ~Ⅲ级的诊治价值
引用本文:韩玉新,李亚里,陈宜华. 宫颈锥切术对宫颈上皮内瘤变Ⅱ~Ⅲ级的诊治价值[J]. 中国医师进修杂志, 2008, 31(27): 25-26
作者姓名:韩玉新  李亚里  陈宜华
作者单位:1. 解放军第九一中心医院妇产科,河南焦作,454003
2. 解放军总医院妇产科
3. 广东省顺德市勒流医院妇产科
摘    要:目的 探讨宫颈锥切术对宫颈上皮内瘤变(CIN)Ⅱ~Ⅲ级的诊断及治疗价值.方法 经阴道镜下宫颈活检诊断为CIN Ⅱ~Ⅲ级并行宫颈锥切术的患者76例,对比宫颈锥切术前后病理组织学结果及治疗方法等临床资料,进行回顾性分析.结果 病理组织学诊断符合率为48.68%,升级24例(31.58%),其中浸润癌8例(10.53%);降级15例(19.74%).结论 CIN Ⅱ~Ⅲ级行诊断性宫颈锥切术,可以提高诊断准确率,预防浸润癌的漏诊,同时又是一种重要的治疗性手术.

关 键 词:宫颈上皮内瘤样病变  宫颈锥切术

The value of diagnosis and treatment of conization of cervix to cervical intraepithelial neoplasia Ⅱ-Ⅲ grade
HAN Yu-xin,LI Ya-li,CHEN Yi-hua. The value of diagnosis and treatment of conization of cervix to cervical intraepithelial neoplasia Ⅱ-Ⅲ grade[J]. Chinese Journal of Postgraduates of Medicine, 2008, 31(27): 25-26
Authors:HAN Yu-xin  LI Ya-li  CHEN Yi-hua
Abstract:Objective To explore the value of diagnosis and treatment of conization of cervix to cervical intraepithelial neoplasia(CIN)Ⅱ-Ⅲ grade.Methods The data of 76 patients diagnosed as CIN Ⅱ-Ⅲ grade through pre-operative multiple-punch biopsies from July 1st 2006 to June 30th 2007 was retrospectively analyzed.Compared the pathohistology and treatment methods before and after conization of cervix.Results Accordance rate of diagnosis in pre-operative cervical biopsies under vaginoscopy was 48.68%,pathological up-grade were 24 cases(31.58%),among invasive carcinomas were 8 cases(10.53%),pathological down-grade were 15 cases(19.74%).Conclusion Diagnostic cervical conization could enhance the rate of diagnosis,and prevent the omission of invasive carcinomas for the patients with CIN Ⅱ-Ⅲ grade.
Keywords:Cervical intraepithelial neoplasia  Conization of cervix
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