宫颈上皮内瘤变131例手术前后病理分析

131 cases of cervical intraepithelial neoplasia and after surgery when the pathological examination of the clinical evaluation

目的通过对宫颈上皮内瘤变(CIN)患者手术前后病理结果对比,探讨CIN二次病理检查的临床意义。方法回顾性分析我院2005年9月—2007年12月间通过阴道镜进行活检诊断CIN病例131例,分析手术前后病理相符和不符合的情况。结果131例中手术前后病理相符占67.9%(89/131),不相符在CINⅡ最多,占51.3%(20/39)。结论对于阴道镜下活检诊断为CIN的患者,治疗时最好选择切除性治疗如行宫颈锥切,应综合锥切术后的病理结果再修定处理方案。

Objective Surgery of cervical intraepithelial neoplasia （CIN） before and after it compared with the results of pathological examination to explore the second CIN clinical significance of pathological examination. Methods A retrospective study from September 2005 to December 2007 in our hospital for colposcopy biopsy diagnosis of CIN cases under 131 cases of pre-and post-surgical and pathological findings, analysis of the pathology in line before and after surgery, upgrading, demotion and so on. Results 131 cases in the pre-and post-surgery biopsy rate of 67.9% in line, do not match the rate of CIN Ⅱ the most, accounting for 51.2% ; pathological CIN Ⅰ upgrade in most accounts, accounting for 20. 5%. Conclusion biopsy under colposcopy, patients diagnosed with CIN Palace cervical conization should be carried out surgery, conization for a comprehensive post-operative treatment can be revised.