临床与实验病理学杂志2017，Vol.33Issue(1)：35-37,3.DOI:10.13315/j.cnki.cjcep.2017.01.009
子宫颈高级别上皮内病变冷刀锥切术后切缘阳性和全子宫切除术后病理结果比较
Comparsion of pathological differences between cervical high-grade intraepithelial lesions positive resection surgical margin after cold knife conization and hysterectomy
秦艳 1田杰 1刘小燕 1陈莹 1范菊花 1邓凯贤2
作者信息
- 1. 南方医科大学附属佛山妇幼保健院病理科,佛山528000
- 2. 南方医科大学附属佛山妇幼保健院妇科,佛山528000
- 折叠
摘要
Abstract
Purpose To compare the pathological differences between cervical high-grade intraepithelial lesions (CHGIL) positive resection surgical margin after cold knife conization and total hysterectomy,and to explore how to take further clinical treatment measures.Methods The pathologic results of 74 patients with CHGIL positive surgical margin after cold knife conization and hysterectomy were analyzed retrospectively.Results There was a correlation between positive cervical incision margin and residual uterine lesion (P ＜ 0.01).Age,menopause status,gland involvement did not related to residual uterine lesions(P ＞ 0.05).There was significant correlation between the lesion-related quadrant and the residual rate of uterine lesion (P ＜ 0.01).Conclusion Cold knife conization and hysterectomy are safe and effective treatments for CHGIL.However,for the positive resection surgical margin after cold knife conization cases,hysterectomy should be carefully chosen and may choose conservative treatment or re-cone cutting.关键词
子宫颈肿瘤/高级别上皮内病变/子宫颈冷刀锥切术/全子宫切除术Key words
cervical neoplasm/high-grade intraepithelial lesions/cold knife conization/hysterectomy分类
医药卫生引用本文复制引用
秦艳,田杰,刘小燕,陈莹,范菊花,邓凯贤..子宫颈高级别上皮内病变冷刀锥切术后切缘阳性和全子宫切除术后病理结果比较[J].临床与实验病理学杂志,2017,33(1):35-37,3.
