李晴, 李卫红, 黄美娥, 黄犁, 刘植华. 子宫颈锥形切除术病理结果分析[J]. 中国肿瘤临床, 2005, 32(12): 687-689.
引用本文: 李晴, 李卫红, 黄美娥, 黄犁, 刘植华. 子宫颈锥形切除术病理结果分析[J]. 中国肿瘤临床, 2005, 32(12): 687-689.
Li Qing, Li Wei-hong, Huang Mei-e, . Clinical Analysis for the Results of Pathological Examination in Cervical Conization[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(12): 687-689.
Citation: Li Qing, Li Wei-hong, Huang Mei-e, . Clinical Analysis for the Results of Pathological Examination in Cervical Conization[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(12): 687-689.

子宫颈锥形切除术病理结果分析

Clinical Analysis for the Results of Pathological Examination in Cervical Conization

  • 摘要: 目的:对照子宫颈锥形切除术与活检的病理结果,探讨重度子宫颈上皮内瘤变(CIN-Ⅲ)的临床处理方法。方法:分析在阴道镜下活检,病理诊断为CIN-Ⅲ,行子宫颈锥形切除术的患者153例,采用自身对照的方法,对比子宫颈锥形切除术后的病理结果。结果:子宫颈锥形切除术与阴道镜下活检病理诊断相符者95例,占62.09%:不相符者58例,占37.91%:其中诊断升高为子宫颈浸润癌16例,占10.46%;诊断降低者42例,占27.45%,最终诊断以病理诊断级别高者为准。结论:子宫颈锥形切除术与阴道镜下活检病理诊断仍有一定的差异,重度子宫颈上皮内瘤变(CIN-Ⅲ)的病例,建议行子宫颈锥形切除术进行最终诊断与治疗。

     

    Abstract: Objective : To evaluate the clinical management of cervical intraepithelial neoplasia Ⅲ(CIN Ⅲ) by comparative study on the results of pathological examination between colposcopic multiple biopsies and cervical conization specimens. Methods : A 3-year retrospective study was conducted in 153 patients with CIN Ⅲ. The correlation between colposcopic multiple biopsies and cervical conization specimens were analyzed. Results : In comparison with pathological examination results of biopsies with cervical conization, the correlation was accurate in 95 of 153 case(62.09%), but there was not correspondence in 58 of 153 case (37.91%). The colposcopic multiple biopsy was found to be more or less severe than cervical conization in 42 cases (27.45%) and 16 cases (10.46%) respectively. Uixteen cases with invasive cancer were missed at the time of colposcopy and biopsy but subsequently diagnosed by conization. Conclusion : There is a discrepancy between the result of pathological diagnosis for cervical conization and for colposcopic multiple biopsies. We suggest that patients with cervical conization be conducted on CIN Ⅲ for final diagnosis and treatment.

     

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