宫颈冷刀锥切术95例临床分析

Clinical analysis of cervical cold knife conization in 95 cases

目的:比较宫颈活检结果与宫颈冷刀锥切术后病检结果的差异,评价宫颈多点活检在CIN诊断中的准确性和宫颈冷刀锥切术的诊治价值,并分析锥切术近期并发症。方法:回顾性分析2009年-2010年因宫颈病变行阴道镜下多点活检及宫颈冷刀锥切术者95例,采用自身对照法,比较宫颈锥切术和阴道镜下多点活检的病理检查结果。结果 :宫颈冷刀锥切术后病理与阴道镜下多点活检的病理检查结果符合者54例(56.84%),不符合者41例(43.16%),其中,冷刀锥切术后结果升级者11例,占不符合例数的26.83%,占总例数的11.58%;病变降级者30例,占不符合例数的73.17%,占总例数的31.58%。术中出血平均67.5ml,手术时间平均30.8分钟,术后出血6例(6.32%),术后发热1例。结论:宫颈冷刀锥切可补充多点活检的局限性,提高诊断准确性。

Objective：Compare the results of cervical biopsy and cervical cold knife conization pathologic examination and Evaluate cervical biopsy in the diagnosis of CIN.Methods： Retrospectively analyze dataof colposcopy cervical lesions due to multiple biopsies and cervical cold knife conization in 95 cases.Results： Cold knife conization of cervical pathology and colposcopy and multiple biopsies of pathological results were same in 54 cases（56.84%）,different in 41 cases（43.16%）,among them,the results of cold knife conization upgrade in 11 cases,Account does not meet the number of cases of 26.83%.Lesions downgraded in 30 cases.Average blood loss was 67.5ml.The average operative time 30.8 minutes.Postoperative bleeding in 6 cases（6.32%）.Postoperative fever in 1 case.Conclusion： Cervical cold knife conization biopsy may complement the limitations of multi-point,improve diagnostic accuracy.