生殖医学杂志2008，Vol.17Issue(z1)：21-25,5.DOI:10.3969/j.issn.1004-3845.2008.z1.005
Analysis the factors related to the cone marginal status of the patients with cervical intraepithelial neoplasia Ⅲ
Analysis the factors related to the cone marginal status of the patients with cervical intraepithelial neoplasia Ⅲ
Dai Zhi-qin 1Pan Ling-ya 2Huang Hui-fang 1Lang Jing-he1
作者信息
- 1. Department of Obstetrics & Gynecology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Science,Beijing 100730,China
- 2. Department of Gynecology Oacology,JiangSu Cancer Hospital,Nanjing 210009,China
- 折叠
摘要
Abstract
Objective:To assess the factors related to the cone marginal status of patients with cervical intraepithelial neo-plasia Ⅲ(CINⅢ)after conization.Method:A retrospective analysis of consecutive patients with CIN Ⅲ accepted conization between Jan.1st 1999 and Dec 31th 2004 was performed.To assess the relationships between the positive margin of conization of the pa-tients with cervical intraepithelial neoplasia Ⅲ and the patient's age,size of lesion and the operator.To assess the management of the positive cone margin and follow-up of the patient with CIN Ⅲ.Results:361 patients first accepted conization.Among them were 58 patients(16.1%)with positive cone mar-gin.There was no difference in the positive margin of conization in the different age groups,size of lesions and oper-ators.The rate of positive margin of conization was 14.3% with the surgeon of the gynecological oncologist,and the 20.4 % with the non-gynecological oncologist.The rate of the follow-up was 70%.According to the rate of the ab-normal cytology of follow-up,the positive margin of conization was 21.4%,and the negative margin of conization was 10.6%,there was no significant difference.Conclusion:The status of the resection margin of the conization may be related to the surgical skill.The patients with CINⅢ should be accepted a regular postoperative follow up,especially the patients with positive margin.关键词
Cervical intraepithelial neoplasia Ⅲ/Cervical conization/Positive marginKey words
Cervical intraepithelial neoplasia Ⅲ/Cervical conization/Positive margin引用本文复制引用
Dai Zhi-qin,Pan Ling-ya,Huang Hui-fang,Lang Jing-he..Analysis the factors related to the cone marginal status of the patients with cervical intraepithelial neoplasia Ⅲ[J].生殖医学杂志,2008,17(z1):21-25,5.
