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二氧化碳激光治疗宫颈上皮内瘤变:543例患者的报告。

Treatment of cervical intraepithelial neoplasia with the carbon dioxide laser: report of 543 patients.

作者信息

Anderson M C

出版信息

Obstet Gynecol. 1982 Jun;59(6):720-5.

PMID:6804903
Abstract

Five hundred forty-three patients with cervical intraepithelial neoplasia were treated with the carbon dioxide laser and 441 have been seen for follow-up. The success rate was 76.4% after 1 treatment and 98% after 2 treatments. Many patients who returned with apparent minor abnormalities at the first follow-up visit had normal colposcopic results and Papanicolaou smears 6 months later. The complication rate was low, and no significant problems were caused by pain or bleeding at the time of treatment. Postoperative hemorrhage requiring hospital admission occurred in 1% of patients. Laser treatment should be carried out only in departments with colposcopic expertise.

摘要

543例宫颈上皮内瘤变患者接受了二氧化碳激光治疗,其中441例接受了随访。单次治疗后的成功率为76.4%,两次治疗后的成功率为98%。许多在首次随访时看似有轻微异常的患者,6个月后的阴道镜检查结果和巴氏涂片检查结果均正常。并发症发生率较低,治疗时疼痛或出血未引起明显问题。1%的患者发生了需要住院治疗的术后出血。激光治疗应仅在具备阴道镜专业知识的科室进行。

相似文献

1
Treatment of cervical intraepithelial neoplasia with the carbon dioxide laser: report of 543 patients.二氧化碳激光治疗宫颈上皮内瘤变:543例患者的报告。
Obstet Gynecol. 1982 Jun;59(6):720-5.
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Conization as treatment of carcinoma in situ of the uterine cervix.宫颈原位癌的锥切术治疗
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[Conservative treatment of grade 3 intra-epithelial cervical neoplasms. Comparative study of CO2 laser vaporization, laser conization and cold scalpel conization].[宫颈上皮内瘤变3级的保守治疗。二氧化碳激光汽化、激光锥切术和冷刀锥切术的比较研究]
J Gynecol Obstet Biol Reprod (Paris). 1988;17(5):661-74.
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Management of cervical intraepithelial neoplasia by carbon dioxide laser.
Obstet Gynecol. 1982 Sep;60(3):378-84.
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Treatment of vaginal intraepithelial neoplasia with the carbon dioxide laser.二氧化碳激光治疗阴道上皮内瘤变
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[Five years' use of CO2 laser in the treatment of cervical lesions: 475 treated cases (mainly dysplasias and carcinomas in situ)].二氧化碳激光治疗宫颈病变五年应用:475例治疗病例(主要为发育异常和原位癌)
J Gynecol Obstet Biol Reprod (Paris). 1984;13(6):681-90.
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引用本文的文献

1
Colposcopy.阴道镜检查。
Can Fam Physician. 1987 Sep;33:2083-8.