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锥形活检的并发症与锥形大小及先前阴道镜评估的影响

Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment.

作者信息

Luesley D M, McCrum A, Terry P B, Wade-Evans T, Nicholson H O, Mylotte M J, Emens J M, Jordan J A

出版信息

Br J Obstet Gynaecol. 1985 Feb;92(2):158-64. doi: 10.1111/j.1471-0528.1985.tb01068.x.

DOI:10.1111/j.1471-0528.1985.tb01068.x
PMID:3970895
Abstract

A retrospective study of the complications of cone biopsy showed that among 915 women examined between the years 1976 and 1982, 121 (13%) had primary or secondary haemorrhage, 153 (17%) cervical stenosis and 39 (4%) subsequent infertility or an abnormal pregnancy. Cervical stenosis was commonest among women who had had long cones removed. Stenosis occurred more often in the group of women who had been assessed by colposcopy before operation but this was due to the fact that prior colposcopy selected a favourable group of patients with lesions of limited extent that were susceptible to treatment by local destructive therapy, so that prior colposcopic assessment resulted in the removal of longer cones.

摘要

一项关于宫颈锥形活检并发症的回顾性研究表明,在1976年至1982年间接受检查的915名女性中,121名(13%)发生原发性或继发性出血,153名(17%)出现宫颈狭窄,39名(4%)随后出现不孕或异常妊娠。宫颈狭窄在切除长锥形组织的女性中最为常见。狭窄在术前经阴道镜评估的女性组中更常发生,但这是因为术前阴道镜检查选择了一组病变范围有限、易于接受局部破坏性治疗的有利患者,因此术前阴道镜评估导致切除更长的锥形组织。

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