宫颈锥切在宫颈上皮内瘤变诊治中的作用

The Valuation of Cervical Conization in The Diagnosis and Treatment of Cervical Intraepithelial Neoplasis

目的 :探讨宫颈锥切术在子宫颈上皮内瘤变的诊断及治疗过程中的作用。方法 :整理 5年来我院宫颈锥切病人 4 9例 ,对比其一般资料、细胞学、阴道镜下活检及锥切病理报告。结果 :宫颈锥切的病人逐年增加。 2 9例 (5 9.2 % )细胞学与阴道镜下活检结果一致 ,2 0例 (4 0 .8% )不一致。 18例 (36 .7% )宫颈锥切与阴道镜下多点活检病理检查结果一致 ;31例 (6 3 3% )不一致 ,其中 6例 (12 2 % )宫颈锥切术后病理较阴道镜下多点活检重 ,2 5例 (5 1 0 % )较阴道镜下多点活检轻。结论 :宫颈锥切术是子宫颈上皮肉瘤变病变程度的高级确诊手段 ,对其他诊断方法有疑问的病例尤其实用。并且 ,随着CIN及年轻宫颈癌的增多 ,宫颈锥切术成为有生育要求的年轻患者较恰当的治疗选择。

Objectine:To explone the valuation of cervical conization in the diagnosis and treatment of cervical intraepithelial neoplasis (CIN).Methods:Fourty nine patients with cervical intraepithelial treated by cervical conization in our hospital were collected.The pathological results by cervical conization were compared with the cytolgical results and the pathological ones by colposcopic multiple biopsy.Results:The number of patieuts treated by cervical conization were increasing every year.The cytological results were accordant with the pathological ones of calposcopic multiple biopsy in 29 cases (59.2%).In 18 cases (36.7%)the pathological results of cervical conization were accordant with the ones of colposcopic multiple biopsy. In the other 31 cases (63.3%),the pathological results of cerviacal conization were not accordant with the ones of colposcopic multiple biopsy.Among the 31 cases,6 cases pathological results of cervical conization were in higher grade them those of colposcopic multiple biopsy,other 25 cases results were lower.Conclusion:Cervical conization plays a very important role in the diagnosis and treatment of cervical intraepithelial neoplasis,especially for the cases with donbtful examination results.With the increasing number of the patients with CIN and cervical cancer in young women. Cervical conization become mone and mone important.