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宫颈锥切术后切缘阳性及其处理

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摘要 近年来，宫颈上皮内病变（CIN）的发现显著增多，并有明显年轻化倾向，且已成为生育年龄妇女最常见的妇科疾患，为使那些年轻患者能够保留生育功能，宫颈锥切术越来越多地用于宫颈病变的治疗，随之而来的宫颈锥切术后组织标本切缘阳性的意义及其处理问题，成为人们关注的焦点和热点。
作者 贺国丽 王世阆
机构地区 海南省人民医院 四川大学华西第二医院
出处 《肿瘤预防与治疗》 2009年第3期342-344,共3页 Journal of Cancer Control And Treatment
关键词 宫颈 锥切术 阳性/切缘
分类号 R713.4 [医药卫生—妇产科学]
  • 相关文献

参考文献20

  • 1Mathevet P, Chemali E, Roy M, et al. Long-term outcome of a randomized study comparing three techniques of conization: cold knife, laser, and Leep[J]. European Journal Obstetrics Gynecology and Reproductive Biology, 2003,106:214-218.
  • 2Kim HJ, Kim KR, Mok JE, et al. Pathologic risk factors for predieting residual disease in subsequent hysterectomy following Leep eonization[ J]. Gynecol Oneol, 2007,105:434-438.
  • 3Fogle RH, Spann CO, Easley KA, et al. Predictors of cervical dysplasia after the Loop electrosurgical excision procedure in an inner--city population[J]. J Repred Med, 2004,49:481-486.
  • 4Siriaree S, Srisomboon J, Kietpeerakool C, et al. High-grade squamous intraepithelial lesion with endocervical cone margin involvement after cervical Loop electrosurgical excision what should a clinician do[J]. Asian Pac J Cancer Res, 2006,7:463-466.
  • 5Natee J, Therasakvichaya S, Boriboonhirunsarn D. Prevalence and risk factors for residual cervical neoplasia in subsequent hysterectomy following Leep or conization [ J ]. J Med Assoc Thai, 2005,88 : 1344-1348.
  • 6Tillmanns TD, Falkner CA, Engle DB, et al. Preoperative predictors of positive margins after Loop electrosurgical excisional procedure-cone[ J ]. Gynecol Oncol, 2006,100:379-384.
  • 7王彤,孔为民,李宝珠,吴玉梅.对宫颈锥切术阳性切缘患者临床处理的探讨[J].中华医学杂志,2008,88(19):1331-1334. 被引量：13
  • 8Lu CH, Lin FS, Kuo CJ, et al. Prediction of persistence or recurrence after conization for cervical intraepithelial neoplasia Ⅲ[ J ]. Gynecol Oncol, 2006,107:830-835.
  • 9Kietpeerakool C, Srisomboon J, Ratchusiri K. Clinicopathologic predictors of incomplete excision after Loop electrosurgical excision for cervical preneoplasia[ J]. Asian Pac J Cancer Prev, 2005,6: 481-484.
  • 10Brummer O, Hollwitz B, Bohmer G, et al. Human papillomavirustype persistence patterns predict the clinical outcome of cervical intraepithelial neoplasia[ J]. Gynecol Oncol, 2006,102:517-522.

二级参考文献11

  • 1沈铿.宫颈上皮内瘤变治疗方法的选择[J].中华医学杂志,2006,86(5):291-294. 被引量：91
  • 2Siriaree S, Srisomboon J. High-grade squamous intraepithelial lesion with endocervical cone margin involvement after cervical loop electrosurgical excision: what should a clinician do, Asian Pac J Cancer Prev, 2006,7:463-466.
  • 3中华医学会妇瘤分会.妇科常见肿瘤诊治指南.第2版,北京:人民卫生出版社,2007:27-33.
  • 4KimHJ, Kim KR, Mok JE, et al. Pathology risk factor for predicting residual disease in subsequent hysterectomy following LEEP conization. Gynecol Oncol,2007 ,83 :434-438.
  • 5Narducci F, Occelli B. Positive margins after conization and risk of persistent lesion. Gynecol Oncol, 2000,76 : 311-314.
  • 6Giacalone PL, Laffargue F. Randomized study comparing two techniques of conization : cold knife versus loop excision. Gynecol Oncol, 1999, 75:356-360.
  • 7Huang LW, Huang JL A comparison between loop electrosurgical excision procedure and cold knife conizition for cervical dysplasia : residual disease in a subsequent hysterectomy specimen. Gynecol Oncol, 1999,75: 12-15.
  • 8Frank WL. Obstetrics and Gynecology principle for practice. New York, Mcgraw-Hill companies,2001:1271.
  • 9Livasy CA, Maygarden MH, Rajaratnam CT, et al. Predictors of recurrent dysplasia after a cervical loop electrocaurery excision procedure for CIN-3 : a study of margin , endocervical gland and quadrant involvement. Mod Pathol, 1999,12 : 233-238.
  • 10Verguts J, Bronselaer B. Prediction of recurrence after treatment for high-grade cervical intraepithelial neoplasia: the role of human papillomavirus testing and age at conization. B JOG, 2006,80: 1303-1307.

共引文献12

肿瘤预防与治疗
2009年 第3期

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