高频电波刀治疗宫颈上皮内瘤变的临床观察.pdfVIP

· 760· 中国妇幼保健2008年第23卷 高频电波刀治疗宫颈上皮内瘤变的临床观察 邵映秀 四川省成都市妇幼保健院 610031 中国图书分类号 R713 文献标识码 B 文章编号 1001-4411(2008)06-0760-02 【摘 要】 目的：探讨高频电波刀治疗宫颈上皮内瘤变的效果及临床价值。方法：对经过妇科检查、宫颈细胞学检查、电 子阴道镜及宫颈组织活检初步诊断为不同级别的宫颈上皮内瘤变门诊患者88例，采用高频电波刀手术治疗(或用环形电刀切除 病灶或用锥切电刀行宫颈锥切)，标本均送病理检查。同时，观察手术时间、手术出血量及术后疗效。结果：采用高频电波刀手 术治疗宫颈上皮内瘤变一次成功率为94．32％；平均手术时间为9．8 min；平均出血量为35 ml；手术标本均经病理学诊断证实。 结论：高频电波刀手术治疗宫颈上皮内瘤变操作简便、快捷、安全、出血少、患者痛苦小、疗效好，并且可提供完整的病理标 本，在宫颈癌的早期发现和诊断方面有较大的临床价值。 【关键词l 高频电波刀 官颈上皮内瘤变 人乳头瘤病毒 Application of high frequency radiosurgical knife in the treatment of cervical intra- epithelial neoplasia SHAO y 一Xiu．Chengdu Maternal and Child Health Hospital，Chengdu 610031，Sichuan，China [Abstract] Objective：To evaluate the value of high frequency radiosurgical knife in the treatment of cervical intraepithelial neopla· sia．Methods：88 patients with cervical intraepithelial neoplasia were diagnosed by optical observation，cytology，colposcopy and cervical biopsy．We treated the lesions with high frenquency radiosurgical knife and calculated the cure rate，the operative time，bleeding volume and patients reaction．Results：The CUre rate of highfrequency radiosurgery procedure was 94．32％．Th e mean operative time was 9．8 mi- nutes．The meall bleeding Was 35m1．All these surgical specimens were checked successfully for pathology diagnoses．Conclusion：The ad· vantages to use the hiIgh frequency radiosurgical knife to management of the cervical intraepithelial neoplasia include simpleness，safety，short operative time，less bleeding，and high cure rate．The high frequency radiosurgery procedure can provide intact pathological samples which is especially useful for early diagnosis of cancer Of cervix． [Key words High frequency radiosurgical knife；Cervical intraepithelial neoplasia(CIN)；Human papilloma virus(HPV) 宫颈癌是妇科恶性肿瘤患者死亡的主要原因之一…。全 镜下定点活检，初步诊断为CIN I 64例、CIN II 17例、 球范围内，宫颈癌发病率占妇女恶性肿瘤发