摘要
宫颈CIN2～3的治疗方法包括宫颈病变表面破坏术、宫颈局部切除术以及必要时的全子宫切除术，宫颈局部切除术是宫颈CIN2～3的的标准术式。宫颈CIN2～3手术治疗后的复发率为0．7％～21％；影响宫颈CIN2～3术后复发的高危因素为切缘阳性、病变严重程度和年龄大于40岁；宫颈CIN2～3术后随诊的基本内容是细胞学、阴道镜及ECC，可采用HPV检测；宫颈CIN2～3术后随诊，细胞学出现两次低度病变或一次高度病变应行阴道镜和ECC检查．再次治疗的方式应临床个体化：CIN2～3的随诊和治疗具有同样的意义。
Treatment of CIN2 - 3 includes cervical ablation, cervical local excision and hysterectomy, while cervical local excision is the standard procedure for CIN2-3. The recurrence rate was 0. 7% ~ 21% after surgery treatment of CIN2-3 ;The high risk factors of recurring are positive margin, serious lesion and age over 40. The follow-up items for postoperation involve cytology, colposcopy, ECC and HPV testing; If there were 2 LSIL or 1 HSIL for cytology, the patients should be given colposcopy examination and ECC. Retreatment must be clinically individual one. It is the same significance for follow-up and treatment of CIN2-3.
出处
《基础医学与临床》
CSCD
北大核心
2006年第12期1308-1312,共5页
Basic and Clinical Medicine
