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中华妇幼临床医学杂志(电子版) ›› 2015, Vol. 11 ›› Issue (05) : 553 -558. doi: 10.3877/cma.j.issn.1673-5250.2015.05.001

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宫颈锥切除术及其相关问题
冯力民1,*,*(), 史小雨1, 李晶华1   
  1. 1. 100050 首都医科大学附属北京天坛医院妇产科
  • 收稿日期:2015-04-20 修回日期:2015-08-30 出版日期:2015-10-01
  • 通信作者: 冯力民

Related issues of cervical conization

Limin Feng1(), Xiaoyu Shi1, Jinghua Li1   

  1. 1. Department of Obsterics and Gynecology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2015-04-20 Revised:2015-08-30 Published:2015-10-01
  • Corresponding author: Limin Feng
  • About author:
    Corresponding author: Feng Limin, Email:
引用本文:

冯力民, 史小雨, 李晶华. 宫颈锥切除术及其相关问题[J/OL]. 中华妇幼临床医学杂志(电子版), 2015, 11(05): 553-558.

Limin Feng, Xiaoyu Shi, Jinghua Li. Related issues of cervical conization[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2015, 11(05): 553-558.

近年随着宫颈癌筛查的广泛应用,宫颈病变可被早发现、早治疗,从而使宫颈锥切术在临床的应用越来越广泛。目前常用的宫颈锥切术包括:宫颈冷刀锥切术(CKC)、激光锥切术(LC)和宫颈环形电切术(LEEP)。宫腔镜辅助宫颈CKC是宫颈上皮内瘤变(CIN)较为理想的治疗方法,具有治愈率高、术后导致的并发症少、简单易学等优势。

In recent years, with the widely application of the cervical cancer screening, cervical lesions can be early found and treated. Conization has been widely used in the clinical application. Methods of conization include: cold knife conization (CKC), laser conization (LC), and loop electro-surgical excisional procedure (LEEP). With the advantages of relatively high cure rate, less postoperative complications and easy to master, hysteroscopy assisted CKC is an ideal method of diagnoses and treatment for cervical intraepithelial neoplasia (CIN).

图1 宫颈癌病灶(碘染不着色区)外0.5 cm以上进行锥切术
图2 宫颈锥形切除时倾斜30°~40°,锥体高度为2.5~3.0 cm
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