CAJ | 학술논문

目的比较三种手术方案治疗重度宫颈上皮内瘤变(CIN Ⅲ)的效果.方法回顾性分析宫颈电热圈环切术(LEEP)、宫颈冷刀锥切术(CKC)、子宫全切术治疗136例CIN Ⅲ患者的临床资料,比较术后组织病理学变化、治愈率及妊娠情况.结果术后病理结果与术前组织活检比较,相符66.4%,升级3.6%,降级30.0%;三种手术方案的治愈率差异无统计学意义;LEEP与CKC的妊娠率的差异无统计学意义.结论三种手术方案均能有效治疗CIN Ⅲ,LEEP治疗CIN Ⅲ是首选方案.
목적 비교삼충수술방안치료중도궁경상피내류변(CIN Ⅲ)적효과.방법 회고성분석궁경전열권배절술(LEEP)、궁경냉도추절술(CKC)、자궁전절술치료136례CIN Ⅲ환자적림상자료,비교술후조직병이학변화、치유솔급임신정황.결과 술후병리결과여술전조직활검비교,상부66.4%,승급3.6%,강급30.0%;삼충수술방안적치유솔차이무통계학의의;LEEP여CKC적임신솔적차이무통계학의의.결론 삼충수술방안균능유효치료CIN Ⅲ,LEEP치료CIN Ⅲ시수선방안.
Objectives To discuss the value of the three kinds of surgical management to treat high-grade cervical intraepithelial neoplasia. Methods The study was conducted on 136 patients who underwent LEEP、CKC 、hysterectomy ,to compare the change of the postoperative biopsy result,the rate of cure and pregnancy. Result Among the postoperative biopsy result,66. 4% was consitent with pretreating histopathology,but 3.6% was upgrade,30.0% was downgrade; there were no statistical difference in the rate of cure of the three kinds of surgical management and in the rate of pregnancy of the two kinds of conization. Conclusion The three kinds of surgical management to treat high-grade cervical intraepithelial neoplasia were effective,while LEEP was the best way.