高危型宫颈上皮内瘤变行宫颈锥切术51例治疗价值探讨
Exploration on the clinical value of conization of cervix in 51 case of high risk trpe cervical intraepithelial neoplasia
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摘要: 目的 探讨高危型宫颈上皮内瘤变(CIN II级、CIN III级)行宫颈锥切术治疗的临床价值。方法 回顾性分析2006年1月1日-2008年8月30日,本院51例因宫颈多点活检诊断为宫颈CIN II级、CIN III级行高频电刀宫颈锥切治疗术患者,对比其一般资料、宫颈多点活检及锥切病理报告。结果 高危型患者一般无临床症状(74.50%),平均年龄38.47岁,锥切术后病理与宫颈活检病理结果相符35例(68.63%),降级13例(25.49%),病变升级3例(5.88%),发现浸润癌1例。48例(94.12%)患者宫颈切缘均阴性,3例(5.88%)患者切缘阳性,术前21例HPV感染患者中有18例转阴。结论 随着宫颈上皮内瘤变的患者年轻化,只要正确掌握锥切方法,能有效治疗高危型CIN患者,并能保留女性宫颈内分泌功能、正常性生活生育功能。宫颈锥切术是一种能准确验证宫颈病变并能较好诊断、治疗高危型CIN的方法,且能降低宫颈局部HPV感染,减少持续感染机会。并强调门诊对宫颈糜烂患者筛查,锥切术后随访必要性。Abstract: ObjectiveApproach the Clinical Value of Cervical Intraepithelial Neoplasi of High Risk Model (CIN II级、CIN III级) in patients treated with Conization of Cervix.MethodThe different normal information and pathologic diagnoses between the cervix biopsy and conization were retrospectively analyzed.For 51 patients with the high risk model CIN who had received Conization of Cervix by high frequency electro surgical unit in our hospital from January 1st,2006 to August 30,2008 were recorded.ResultsThe pationes of high risk model CIN usually had no clinical symptom.The mean age in this study was 38.47 years.Of the 51 patientes,35 patientes (68.63%) had the same pathologic diagnoses between the cervix biopsy and conization.The pathologic diagnoses of 13 patientes (25.49%) were degreed and 3 patientes (5.88%) were upgraded.And found 0ne invasive cancer.48 patientes'(94.12%) cervix cutting edge were negative,others were masculine.21 patientes with infectioned by HPV became negative after conization.ConclusionCorrect conization method not only could cure the high risk model CIN according with the patientes became more and more younger but also could retain the normal endocrine,sex life and breed function.Conization of Cervix is a can not be instead methods in diagnosis and treatment of high risk model CIN and can degree the infection of HPV.It is necessary screen to cervical erosion pationes in out-patient clinic and follow-up visit after Conization of Cervix.