TCRC术治疗宫颈病变429例临床分析
TCRC术,,TCRC；CIN；宫颈病变；治疗,1资料和方法,2结果,3讨论,参考文献：
摘要：目的：探讨经阴道宫颈电切(transvaginal coneresection of cervix uteri, TCRC)术治疗宫颈病变的临床价值。方法：回顾性分析429例行TCRC术治疗的宫颈病变患者的宫颈细胞学检查、阴道镜检查及术前、术后病理检查结果，同时分析TCRC术中及术后并发症的防治及随访结果。结果：TCRC术后病理检查结果与宫颈细胞学检查、阴道镜检查及术前病理检查结果相符者251例(58.51%)，较术前严重者37例(8.62%)，较术前轻者129例(30.07%)。TCRC术后诊断宫颈上皮内瘤样病变(CIN)者73例(43.97%)，手术前后CIN符合者40例(54.79%)。429例患者术后3个月随访宫颈细胞学检查或阴道镜检查均无阳性发现。手术后宫颈恢复形态4~6周(平均4.5周)。结论：对于宫颈病变尤其是其它方法未能治愈的宫颈良性病变,TCRC术是其补充及终末治疗。对于CIN患者TCRC术是一种安全、可靠的诊断和治疗方法。关键词：TCRC；CIN；宫颈病变；治疗
Clinical study about transvaginal coneresection of cervix uteri on 429 cases with cervical disease
MA Junqi, DING Yan
(Department of Obstetrics and Gynecology，First Affiliated Hospital of Xinjiang Medical University， Urumqi 830054，China)
Abstract：Objective：To investigate the value of curative effects of the transvaginal coneresection of cervix uteri (TCRC) on cervical diseases. Methods：Descriptive retrospective study, between June 2000 and June 2004, 429 women with cervical diseases were treated at our hospital with comparing their cervical cytology and their pathological results of colposcopy biopsy and TCRC, and with studying the measure of prevention and therapy of complications between and after TCRC. Results：The rate of pathological conformity among TCRC biopsy, the cervical cytology and colposcopy biopsy was 58.5% (251/429). Among 166 women diagnosed cervical intraepithelial neoplasia (CIN), 73 cases was attested after TCRC, and the rate of CIN conformity was 54.8% (40/73) before and after TCRC. Followed up 3 months, the results of cervical cytology and vaginoscopy in 429 cases were negative. There were few cases of complication after TCRC. Conclusion: TCRC is a better and complemental option of measures on cervical diseases, especially refractory cases with benign cervical diseases. The study showes that TCRC is a secure diagnosis and therapy of the women with CIN. ......
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