摘要
目的探讨应用官腔镜电切术治疗宫颈病变的临床效果。方法2002年1月～2003年6月，应用宫腔电切镜切除359例各类宫颈病变。结果359例均在门诊一次完成手术，手术时间5～15min，术中出血2-10ml。术后病理诊断慢性官颈炎332例，宫颈上皮内瘤样病变（cervical intraepithelial neoplasia，CIN）Ⅰ～Ⅱ级26例，CINⅢ级1例。335例随访2～12个月，平均9个月。术后2个月308例慢性富颈炎一次性治愈率98．7％（304／308）；237例随访1年宫颈糜烂、宫颈息肉及宫颈肥大未复发；27例CIN术后随访6～12个月未显示CIN病变。结论宫腔镜电切术治疗宫颈病变，疗效肯定，并发症少，值得推广。
Objective To investigate the clinical effect of hysteroscopic electroresection of cervical lesions. Methods Hysteroscopic electrosurgery of transcervical resection of cervical lesions was conducted in 359 cases from January 2002 to June 2003. Results The procedure was accomplished in the out - patient clinic on one session in all the 359 cases. The operation time was 5 - 15 min and the intraoperative blood loss, 2 - 10 ml. Postoperative pathological examinations showed 332 cases of chronic cervicitis and 27 cases of cervical intraepithelial neoplasia （CIN）（grade Ⅰ - Ⅱ ,26 cases;grade m, 1 case）. A follow- up survey was carried out in 335 cases for 2 - 12 months （mean, 9 months）. At 2 months after procedure, 304 out of 308 cases of chronic cervicitis were cured （98.7%）. On the follow -up observations for 1 year in 237 cases, no recurrences of cervical erosion, polyps or hypertrophy were noted. Of 27 cases of grade cervical intraepithelial neoplasia, postoperative follow -up for 6 - 12 months demonstrated no findings of CIN. Conclusions Hysteroscopic electrosurgery for cervical lesions gives favorable outcomes and few complications, being a procedure worthy of recommendation.
出处
《中国微创外科杂志》
CSCD
2006年第1期51-53,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
官腔镜电切术
宫颈疾病
Hysteroscopic electrosurgery
Cervical disease
