CAJ | 학술논문

目的：探究宫颈锥切术对宫颈上皮内瘤样变(CIN)的诊断价值及治疗效果。方法回顾性分析2013年5月-2014年5月间在该院采用宫颈锥切术治疗的宫颈皮上瘤样变患者52例，使用常规的自身对照法，对比宫颈锥切术和阴道镜下宫颈多点活检的病理结果。对患者的临床资料进行回顾性分析。结果52例患者全部采用Leep锥切，阴道镜活检为CINⅡ的30例患者中，与锥切病理结果相符的有26例，符合率为86.6%；阴道镜活检为CIN芋的22例患者中，锥切术后18例与病理结果相符，符合率为81.8%。总体符合率为84.6%，差异无统计学意义(P跃0.05)。病变级别均有所减轻。随访中，除了锥切后备确诊为宫颈癌的患者外，其他人并无复发现象。结论宫颈锥切术对宫颈上皮瘤样变有很好的诊断和治疗效果，术后需定期、严格的随访观察。
목적：탐구궁경추절술대궁경상피내류양변(CIN)적진단개치급치료효과。방법회고성분석2013년5월-2014년5월간재해원채용궁경추절술치료적궁경피상류양변환자52례，사용상규적자신대조법，대비궁경추절술화음도경하궁경다점활검적병리결과。대환자적림상자료진행회고성분석。결과52례환자전부채용Leep추절，음도경활검위CINⅡ적30례환자중，여추절병리결과상부적유26례，부합솔위86.6%；음도경활검위CIN우적22례환자중，추절술후18례여병리결과상부，부합솔위81.8%。총체부합솔위84.6%，차이무통계학의의(P약0.05)。병변급별균유소감경。수방중，제료추절후비학진위궁경암적환자외，기타인병무복발현상。결론궁경추절술대궁경상피류양변유흔호적진단화치료효과，술후수정기、엄격적수방관찰。
Objective To explore the diagnostic value and therapeutic effect of conization of cervix for cervical intraepithelial neoplasia. Methods 52 patients with cervical intraepithelial neoplasia who underwent conization of cervix in our hospital from May 2013 to May 2014 were retrospectively analyzed. Pathologic findings of conization of cervix and that of colposcopic cervical multi-point biopsy were compared by self-control method. The clinical data of the patients was retrospectively analyzed. Results LEEP cone cutting surgery was performed for all the 52 patients. There were 30 patients in CINIIaccording to colposcopic cervical mul-ti-point biopsy, while 26 patients (out of the 30 patients) in the same class according to conization of cervix, and corresponding rate of the pathologic findings by the two different methods was 86.6%; There were 22 patients in CINⅢ according to colposcopic cervical multi-point biopsy, while 18 patients (out of the 22 patients) in the same class according to conization of cervix, and cor-responding rate of the pathologic findings by the two different methods was 81.8%. The even corresponding rate was 84.6%, and there was no statistically significant difference (P>0.05). Conclusion For cervical intraepithelial neoplasia, the diagnostic value and therapeutic effect of conization of cervix followed with strict and regular follow-up is significant.