宫颈锥切术治疗宫颈上皮内瘤变的疗效分析

Analysis of Effect on Conization of Cervix for the Treatment of Cervical Intraepithelial Neoplasia

目的探讨宫颈锥切术在宫颈上皮内瘤变治疗中的临床疗效。方法回顾性分析我院2008年6月～2010年2月收治的94例宫颈上皮内瘤变患者的临床资料,分析宫颈锥切术前初诊情况、治疗方法、术后临床疗效以及未行全子宫切除的妊娠情况。结果两组术前初诊情况与宫颈锥切术术后病理确诊情况对比,宫颈锥切术前病理初诊情况明显优于阴道镜下宫颈活检初诊情况,术后治愈率为90.43%,一年内复发率为2.13%,未行子宫全切手术的患者一年内的妊娠率为84.38%。结论宫颈锥切术是一种诊断和治疗CIN的理想手段,且能安全、有效地保留患者生育功能。

Objective To discuss the clinical effect of conization of cervix for the treatment of cervical intraepithelial neoplasia. Methods The clinical data of 94 cases with cervical intraepithelial neoplasia from Jun. 2008 to Feb. 2010 were retrospectively analyzed. The preoperative primary diagnosis conditions,treatment methods,and postoperative effect as well as pregnancy condition without total hysterectomy were analyzed. Results The primary diagnosis conditions before conization of cervix were obviously superior to cervical biopsy under colposcopy. The curative rate after operation was 90.43%,and the recurrence rate in one year was 2.13%. The pregnancy rate for patients without total hysterectomy in one year was 84.38%. Conclusion Conization of cervix is ideal for the diagnosis and treatment of cervical intraepithelial neoplasia. It is effective and safe in protecting patients＇ reproductive function.