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[二氧化碳激光治疗子宫颈肿瘤]

[Treatment of neoplasms of the uterine cervix by CO2 laser].

作者信息

Sekimoto S

出版信息

Gan No Rinsho. 1985 May;31(6 Suppl):679-84.

PMID:4032753
Abstract

CO2 evaporation was undertaken on 241 patients with cervical intraepithelial neoplasia. The results obtained six weeks after the treatment revealed disappearance of 89.6% of the lesions, and the therapeutic results obtained one year after reirradiation were favorable; 97.5% of the lesions had disappeared. However, not a few patients have some neoplasms of the uterine cervix to which this therapy is not applicable. Therefore, conization was started for treatment combined with diagnosis by means of CO2 laser. The therapeutic effect has been studied in 64 patients to date. Five patients with carcinoma of stage Ia and four patients with endoepithelial carcinoma who had undergone hysterectomy after conization were examined for the presence or absence of residual lesions. The lesions had disappeared completely. The remaining 64 patients who had not undergone hysterectomy are now under follow-up study, and a residual lesion was observed in only one patient, suggesting the possibility of treating a large number of CIN patients by evaporation combined with conization.

摘要

对241例宫颈上皮内瘤变患者进行了二氧化碳汽化治疗。治疗六周后获得的结果显示,89.6%的病变消失,再次照射一年后获得的治疗效果良好;97.5%的病变已消失。然而,不少患者患有一些不适用该疗法的子宫颈肿瘤。因此,开始采用二氧化碳激光进行锥切术结合诊断性治疗。迄今为止,已对64例患者的治疗效果进行了研究。对5例Ia期癌患者和4例锥切术后接受子宫切除术的上皮内癌患者检查是否存在残留病变。病变已完全消失。其余64例未接受子宫切除术的患者目前正在接受随访研究,仅1例患者观察到残留病变,这表明通过汽化联合锥切术治疗大量宫颈上皮内瘤变患者是有可能的。

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