宫颈癌前病变手术治疗的现状与未来

Current status and future of surgical treatment for cervical precancerous lesions

近年来，随着宫颈细胞学和病毒学筛查方法的应用，宫颈癌前病变和宫颈癌的早诊早治出现了可喜变化，但我国宫颈癌整体的发病率却暂未下降，防控形势仍然不容乐观。高级别宫颈上皮内瘤变作为子宫颈浸润癌的癌前病变，是子宫颈癌发生发展中的必经阶段，及时发现和治疗宫颈病变，对于阻断宫颈癌的发生具有重要作用。目前在宫颈癌前病变的诊治方法中，宫颈锥形切除手术具有重要地位，并且衍生出了多种不同的宫颈锥切术式，本文就此手术的相关问题及未来趋势作一简要介绍。

In recent years, with the application of cervical cytology and virological screening methods, the early diagnosis and treatment of cervical precancerous lesions and cervical cancer emerge an encouraging trend. But, the prevention and control situation is still not optimistic because the overall incidence of cervical cancer has not declined in our country. High-grade cervical intraepithelial neoplasia is a precancerous lesion and an inevitable stage of cervical cancer. It is necessary to detect and treat the cervical lesion in blocking the occurrence of cervical cancer. At present, cervical conization resection plays an important role in the diagnosis and treatment of cervical precancerous lesions and derives a variety of different types of cervical conization. This article briefly elucidates the relevant issues and its future of this operation.