TCT技术结合阴道镜及宫颈锥切治疗CIN的临床观察

目的：TCT（薄片液基细胞学检查）技术结合宫颈锥切在CIN（宫颈上皮内瘤样病变）的诊断及治疗应用,以及结合阴道CIN治疗后的临床观察。结果：TCT发现有不典型的细胞（ASCUS）再行阴道镜检查并取活检,病理发现CIN2-3级的患者要求保留子宫的行宫颈锥切。术后4-6个月随访,并行阴道镜复查及取活检。治愈率97%,术后一年行TCT检查为正常的细胞。结论：TCT技术在宫颈癌筛查方面是很好的手段,特别是发现CIN结合阴道镜及活检在诊断方面有很大的帮助。而宫颈锥切是保全子宫的一种手段,所切的宫颈送病理可以确诊CIN是治疗CIN很有效的方法。

Clinical Observation in Patients with Liquid-based Cytologic Test and Cervical Conization in Treatment of Cervical Intraepithelial Neoplasia

Objective： To assess the value of liquid-based cytologic test （TCT） and cervical conization in the diagnosis and treatment of cervical intraepithelial neoplasia （CIN）, and the clinical value of them with cotposcopy in the follow-up afrer the treatment of CIN. Results.. Patients who require to retain the uterus underwent cervical conization when there were atypical squamous cell of undetermined significance （ASCUS） in the TCL and the result of pathology is CIN2-3after cervical biopsy under Colposcopy. The cure rate is 980/60 when we did the review of colposcopy and biopsy after4-6 months of follow-up. Conclusion：Cytologic and human papilloma virus（ HPV）examination of cervix are very good technolo-gies,and important screening method for cervical cancer. They are more useful for the diagonosis of cer vicsal lesion with Colposcopy and cervical bi-opsy. Cervical conization is a means to preserve the uterus. After cervical conization,we can make a definite diagnosis through the pathology and comprehend the marginal states. It is also very effective in the treatment of CIN. Of course,follow-up is also important after CIN treatment.