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[宫颈发育异常及其二氧化碳激光治疗(作者译)]

[Cervical dysplasia and their treatment with the CO2 laser (author's transl)].

作者信息

Sadoul G, Beuret T, Algava G, Melchior J

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1981;10(2):171-80.

PMID:6792268
Abstract

The authors expound on their protocol for the treatment of dysplasias using the CO2 laser after they have reviewed the classification of dysplasia which is at the present time undergoing a lot of controversy. The indication for treatment is basal essentially on the site of the dysplasia in relationship to the endocervical canal. An exocervical lesion call for CO2 treatment with removal of a piece for histological examination and an endocervical lesion equally calls fro conisation carried out with the CO2 laser. A study of the post-operative appearances shows that clinically, colposcopically, cytologically and histologically, scar formation is perfect in 3 weeks due to centripetal metaplasia without spread from the zone of junction. It is essential to understand colposcopy perfectly before starting this from of treatment.

摘要

在回顾了目前存在诸多争议的发育异常分类后,作者阐述了他们使用二氧化碳激光治疗发育异常的方案。治疗指征基本上基于发育异常相对于子宫颈管的部位。子宫颈外病变需要用二氧化碳激光治疗并切除一块组织进行组织学检查,子宫颈内病变同样需要用二氧化碳激光进行锥形切除术。对术后外观的研究表明,在临床、阴道镜、细胞学和组织学方面,由于向心性化生,3周内瘢痕形成良好,且未从交界区扩散。在开始这种治疗形式之前,必须完全了解阴道镜检查。

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