Mor-Yosef S, Lopes A, Pearson S, Monaghan J M
Regional Department of Gynecological Oncology, Queen Elizabeth Hospital, Gateshead, Tyne and Wear, England.
Obstet Gynecol. 1990 May;75(5):884-6.
A technique for cone biopsy using loop diathermy is presented. The diathermy loop consists of an insulated shaft attached to an insulated transverse or U-shaped arm, to which the loop wire is attached. The diathermy power is supplied by an electrosurgical unit. Among the first 50 cases, the mean age was 41.6 years; 72% of the cases were reported as cervical intraepithelial neoplasia III and 6% as microinvasive carcinoma. The mean length of the cone was 20.2 mm and the mean weight 3.9 g. Only 10% of the cones were reported as incompletely excised. No major complications were observed, and minor complications were reported in four patients (8%). We found this technique to be quick, simple, and economical. It provides a good histologic specimen with a low incidence of short-term morbidity.
本文介绍了一种使用环形电切术进行宫颈锥形活检的技术。环形电切环由一根绝缘轴连接到一个绝缘的横向或U形臂组成，环形导线连接在该臂上。电切功率由一个电外科设备提供。在前50例病例中，平均年龄为41.6岁；72%的病例报告为宫颈上皮内瘤变III级，6%为微浸润癌。锥形切除组织的平均长度为20.2毫米，平均重量为3.9克。只有10%的锥形切除组织报告为切除不完全。未观察到重大并发症，4例患者（8%）报告有轻微并发症。我们发现这种技术快速、简单且经济。它能提供良好的组织学标本，短期发病率低。
