子宫颈上皮内瘤变120例临床病理分析

Clinical and pathological analysis of 120 cases cervical intraepithelial neoplasia

目的:探讨子宫颈上皮内瘤变的诊断与鉴别诊断要点、预后及早期防治。方法:收集120例子宫颈上皮内瘤样病变,进行随访,并对光镜下的特点进行观察和分级。结果:诊断CINⅠ级12例(10%),CINⅡ级44例(36.7%),CINⅢ级64例(53.3%)。CINⅠ-Ⅲ级宫颈环锥切77例(64.2%),CINⅢ级子宫全切43例(35.8%)。结论:宫颈三阶梯检查,对宫颈CIN可早诊断,早治疗,减低了宫颈浸润癌的发生率及死亡率。

Objective：To evaluate the diagnosis and differential diagnosis,prognosis and early prevention of cervical intraepithelial neoplasia.Methods：Total of 120 cases of cervical intraepithelial lesions were followed-up,and observed the characteristics and classification.Results：The diagnosis of CINⅠin 12 cases（10%）,CIN Ⅱ grade 44 cases（36.7%）,CIN Ⅲ 64 cases（53.3%）.CIN Ⅰ-Ⅲ grade cervical loop conization 77 cases（64.2%）,CIN Ⅲ grade hysterectomy in 43 cases（35.8%）.Conclusion：Cervical three-step examination of the cervical CIN is useful to early diagnosis and early treatment and reduce the cervical carcinoma incidence rate and mortality.