CAJ | 학술논문

目的：探讨宫颈冷刀锥切术及冰冻病理检查在宫颈上皮内瘤变( CIN)Ⅲ诊治中的价值。方法总结分析我院宫颈活检诊断为CINⅢ的患者60例，行宫颈冷刀锥切术及将标本术中冰冻病理检查，根据冰冻病检结果，决定仅行宫颈冷刀锥切术或筋膜外全子宫切除术或宫颈癌根治术。比较术前宫颈活检、术中冰冻病检、术后标本石蜡病理检查之间的符合率。结果术前宫颈活检与术中冰冻病检符合率为65%(39/60)，术中冰冻病检与术后石蜡病理检查报告符合率为96.67%(58/60)。结论宫颈冷刀锥切联合术中冰冻病检是进一步诊断、指导治疗CINⅢ的快速、准确的方法。
목적：탐토궁경냉도추절술급빙동병리검사재궁경상피내류변( CIN)Ⅲ진치중적개치。방법총결분석아원궁경활검진단위CINⅢ적환자60례，행궁경냉도추절술급장표본술중빙동병리검사，근거빙동병검결과，결정부행궁경냉도추절술혹근막외전자궁절제술혹궁경암근치술。비교술전궁경활검、술중빙동병검、술후표본석사병리검사지간적부합솔。결과술전궁경활검여술중빙동병검부합솔위65%(39/60)，술중빙동병검여술후석사병리검사보고부합솔위96.67%(58/60)。결론궁경냉도추절연합술중빙동병검시진일보진단、지도치료CINⅢ적쾌속、준학적방법。
Objective To study the role of cold knife conization( CKC) and frozen section examination( FSE) for diagno-sis and treatment of cervical intraepithelial neoplasia III( CINIII) . Methods Collected 60 patients with a preoperative biopsy re-sult of stage CINIII were underwent CKC and FSE. By the result of FSE,to planned the operation such as cold knife conization or hysterectomy or operation for invasive cervical cancer. Compliance rate were comparaed with preoperative biopsy result and CKC, CKC and permanent section. Results The compliance rate between preoperative biopsy and cold knife conization was 65%. The compliance rate between cold knife conization and permanent section was 96. 67%. Conclution Cold knife conization and frozen section examination is a rapid and reliable method for diagnosis and treatment of cervical intraepithelial neoplasia III farther.