CAJ | 학술논문

目的:评价宫颈冷刀锥切加宫腔镜下电凝止血术在宫颈上皮内瘤变(CIN)诊断和治疗中的价值.方法:回顾性分析2005年1月至2008年11月行宫颈冷刀锥切加宫腔镜下电凝止血术治疗.且阴道镜下活检结果为CIN的患者193例的临床资料.结果:手术时间15～40分钟,术中出血量5～25 ml,131例锥切术前后病理检查结果相同,符合率为67.88%,术后9例CIN Ⅲ级切缘阳性,18例发生宫颈创面脱痂出血,术后无一例发生术后感染及宫颈粘连或狭窄.结论:宫颈冷刀锥切加宫腔镜下电凝止血术是诊断和治疗CIN的有效方法.
목적:평개궁경냉도추절가궁강경하전응지혈술재궁경상피내류변(CIN)진단화치료중적개치.방법:회고성분석2005년1월지2008년11월행궁경냉도추절가궁강경하전응지혈술치료.차음도경하활검결과위CIN적환자193례적림상자료.결과:수술시간15～40분종,술중출혈량5～25 ml,131례추절술전후병리검사결과상동,부합솔위67.88%,술후9례CIN Ⅲ급절연양성,18례발생궁경창면탈가출혈,술후무일례발생술후감염급궁경점련혹협착.결론:궁경냉도추절가궁강경하전응지혈술시진단화치료CIN적유효방법.
Objective:To evaluate the value of diagnosis and therapy of cold knife conization with electro-cautery hemostasis by hysteroscope in the treatment of ceNical intraepithelial neoplasia (CIN).Methods :A retrospective analysis of the clinical data was carried out in 193 cases with CIN underwent cold knife coniza-tion with electrocautery hemostasis by hysteroscope from January 2005 to November 2008, and all patients had pathological diagnosis under colposcopic biopsy.Results:The operative time was from 15 to 40 mi-nutes, and the blood loss dunng operation was from 5 to 25 milliliters.The coincidence rate of histopathology before and after conization was 67.88% in 131 cases.9 CIN Ⅲ patients had positive margins after opera-tion, owing to scab break off bleeding of cervical wound was encountered in 18 cases.No infection and cervi-cal adhesion or stenosis occurred.Conclusions :Cold knife conization with electrocautery hemostasis by hyst-eroscope is an effective diagnosis and treatment for CIN.