宫内节育器（IUCD）在治疗 LLETZ 术后宫颈狭窄患者中的作用。
Role of an IUCD in managing patients with post-LLETZ cervical stenosis.
机构信息
University of Dundee School of Medicine, Dundee, UK
Gynaecology, University of Dundee College of Medicine Dentistry and Nursing and Ninewells Hospital, Dundee, UK.
出版信息
BMJ Case Rep. 2022 Mar 1;15(3):e246118. doi: 10.1136/bcr-2021-246118.
Abstract
Large loop excision of the transformation zone (LLETZ) is one of the fertility sparing treatments for people with high-grade cervical intraepithelial neoplasia, however, this procedure is known to increase the risk of postoperative cervical stenosis by 1.3%-5.2%. We present a case demonstrating the successful use of a copper intrauterine contraceptive device to manage a patient with cervical stenosis secondary to three LLETZ procedures for severe dyskaryosis.
摘要
大环形电切术（LLETZ）是治疗高级别宫颈上皮内瘤变患者保留生育功能的方法之一，但已知该手术会使术后宫颈狭窄的风险增加 1.3%-5.2%。我们报告了一例成功使用铜宫内节育器治疗因严重不典型增生而接受 3 次 LLETZ 治疗导致宫颈狭窄的患者。
相似文献
1
Role of an IUCD in managing patients with post-LLETZ cervical stenosis.
BMJ Case Rep. 2022 Mar 1;15(3):e246118. doi: 10.1136/bcr-2021-246118.
2
How to make a LLETZ simulator: LLETZ Simulator.
J Gynecol Obstet Hum Reprod. 2023 Dec;52(10):102676. doi: 10.1016/j.jogoh.2023.102676. Epub 2023 Oct 6.
3
Simple vaginal trachelectomy as a fertility-sparing treatment to manage high-grade dyskaryosis following multiple large loop excision of the transformation zone.
BMJ Case Rep. 2016 Jun 28;2016:bcr2016214627. doi: 10.1136/bcr-2016-214627.
4
Risk factors for unsatisfactory colposcopy after large loop excision of the transformation zone: The results of a four-year multicenter prospective study.
Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:156-160. doi: 10.1016/j.ejogrb.2019.07.001. Epub 2019 Jul 2.
5
Early and late pregnancy outcomes in women treated with cold-coagulation versus LLETZ cervical treatment for cervical intraepithelial neoplasia; a retrospective cohort study.
Arch Gynecol Obstet. 2018 Apr;297(4):1015-1025. doi: 10.1007/s00404-018-4704-x. Epub 2018 Feb 5.
6
Risk Factors of Inadequate Colposcopy After Large Loop Excision of the Transformation Zone: A Prospective Cohort Study.
J Low Genit Tract Dis. 2018 Jan;22(1):31-37. doi: 10.1097/LGT.0000000000000357.
7
The impact of HPV cervical screening on negative large loop excision of the transformation zone (LLETZ): A comparative cohort study.
Gynecol Oncol. 2016 Jun;141(3):485-491. doi: 10.1016/j.ygyno.2016.03.032. Epub 2016 Apr 7.
8
Small lesion size measured by colposcopy may predict absence of cervical intraepithelial neoplasia in a large loop excision of the transformation zone specimen.
BJOG. 2017 Feb;124(3):495-502. doi: 10.1111/1471-0528.14247. Epub 2016 Aug 9.
9
10
Test of cure and beyond: superiority of thermal ablation over LLETZ in the treatment of high-grade CIN.
Arch Gynecol Obstet. 2022 Nov;306(5):1815-1820. doi: 10.1007/s00404-022-06409-3. Epub 2022 Feb 2.
本文引用的文献
1
Cervical Stenosis: Previously Unrecognized Cause of False-Negative Human Papillomavirus Tests in Women Developing Cervical Cancer.
J Low Genit Tract Dis. 2020 Oct;24(4):372-374. doi: 10.1097/LGT.0000000000000568.
2
A randomized trial comparing limited-excision conisation to Large Loop Excision of the Transformation Zone (LLETZ) in cervical dysplasia patients.
J Gynecol Oncol. 2019 May;30(3):e42. doi: 10.3802/jgo.2019.30.e42.
3
Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease.
Cochrane Database Syst Rev. 2017 Nov 2;11(11):CD012847. doi: 10.1002/14651858.CD012847.
4
Levonorgestrel-releasing intrauterine system placement for severe uterine cervical stenosis after conization: two case reports.
J Med Case Rep. 2016 Mar 9;10:56. doi: 10.1186/s13256-016-0831-9.
5
Vascular stent as a treatment for refractory cervical stenosis.
Chin Med J (Engl). 2014;127(5):986-7.
6
Recurrent cervical stenosis - a troublesome clinical entity.
Oman Med J. 2008 Jul;23(3):195-6.
7
Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device.
Arch Gynecol Obstet. 2010 May;281(5):887-9. doi: 10.1007/s00404-009-1205-y. Epub 2009 Aug 12.
8
After-effects reported by women following colposcopy, cervical biopsies and LLETZ: results from the TOMBOLA trial.
BJOG. 2009 Oct;116(11):1506-14. doi: 10.1111/j.1471-0528.2009.02263.x. Epub 2009 Jul 7.
9
Urinary catheter stent placement for treatment of cervical stenosis.
Aust N Z J Obstet Gynaecol. 2007 Oct;47(5):406-9. doi: 10.1111/j.1479-828X.2007.00766.x.
10
A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis.
Fertil Steril. 2007 May;87(5):1212.e13-6. doi: 10.1016/j.fertnstert.2006.10.008. Epub 2006 Dec 28.
Zotero 插件