中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
17期
43-43,45
,共2页
宫颈上皮内瘤变%宫颈冷刀锥切%人乳头瘤病毒%病理切片
宮頸上皮內瘤變%宮頸冷刀錐切%人乳頭瘤病毒%病理切片
궁경상피내류변%궁경냉도추절%인유두류병독%병리절편
Cervical intraepithelial neoplasia%Cervical cold knife conization%Human papilloma virus%Pathological sections
目的：评价宫颈上皮内瘤变(CIN)冷刀锥切(CKC)治疗的效果及术后高危型HPV的消退情况。方法：回顾性分析2001-2012年行冷刀锥切术治疗249例宫颈上皮内瘤变患者的临床资料。结果：宫颈冷刀锥切术前后结果一致171例(69%)；两者结果有差异78例(31%)。宫颈病变程度按照病理检查结果分级：CIN Ⅰ42例(17%)，CIN Ⅱ96例(39%)，CIN Ⅲ111例(44%)，其中 HPV 感染216例(87%)。术前高危型 HPV 感染的宫颈上皮内瘤变患者术后6个、12个、24个月清除率分别为82.1%、90.1%、94.4%。结论：宫颈冷刀锥在宫颈CIN的诊断及治疗上具有优势，术后高危型HPV大部分消退。
目的：評價宮頸上皮內瘤變(CIN)冷刀錐切(CKC)治療的效果及術後高危型HPV的消退情況。方法：迴顧性分析2001-2012年行冷刀錐切術治療249例宮頸上皮內瘤變患者的臨床資料。結果：宮頸冷刀錐切術前後結果一緻171例(69%)；兩者結果有差異78例(31%)。宮頸病變程度按照病理檢查結果分級：CIN Ⅰ42例(17%)，CIN Ⅱ96例(39%)，CIN Ⅲ111例(44%)，其中 HPV 感染216例(87%)。術前高危型 HPV 感染的宮頸上皮內瘤變患者術後6箇、12箇、24箇月清除率分彆為82.1%、90.1%、94.4%。結論：宮頸冷刀錐在宮頸CIN的診斷及治療上具有優勢，術後高危型HPV大部分消退。
목적：평개궁경상피내류변(CIN)냉도추절(CKC)치료적효과급술후고위형HPV적소퇴정황。방법：회고성분석2001-2012년행냉도추절술치료249례궁경상피내류변환자적림상자료。결과：궁경냉도추절술전후결과일치171례(69%)；량자결과유차이78례(31%)。궁경병변정도안조병리검사결과분급：CIN Ⅰ42례(17%)，CIN Ⅱ96례(39%)，CIN Ⅲ111례(44%)，기중 HPV 감염216례(87%)。술전고위형 HPV 감염적궁경상피내류변환자술후6개、12개、24개월청제솔분별위82.1%、90.1%、94.4%。결론：궁경냉도추재궁경CIN적진단급치료상구유우세，술후고위형HPV대부분소퇴。
Objective:To evaluate the effect of cold knife conization(CKC) in the treatment of cervical intraepithelial neoplasia(CIN) and the regression of the high risk HPV after the operation.Methods:We retrospectively analyzed the clinical datas of 249 cases with cervical intraepithelial neoplasia and they all had the cold knife conization treatment from 2001 to 2012.Results:The results of before and after the cervical cold knife conization were consistent in 171 cases(69%).The results were different in 78 cases(31%).The degree of cervical lesions by pathological examination results:42 cases were CIN grade Ⅰ(17%),96 cases were CIN Ⅱ(39%),111 cases were CIN Ⅲ(44%),including 216 cases were HPV infection(87%).The clearance rates of the high risk HPV infection before operation of cervical intraepithelial neoplasia after 6 months,12 months,24 months were 82.1% ,90.1% , 94.4%.Conclusion:The cervical cold knife conization has advantages in the diagnosis and treatment of cervical CIN.The high-risk HPV largely faded away after the operation.
