Dargent D
J Gynecol Obstet Biol Reprod (Paris). 1978 May-Jun;7(4):861-72.
Coagulation of the cervix is one of the most frequently carried out gynaecological procedures. All the same, protagonists and antagonists produce numerous arguments about the indications for the operation, the best techniques to adopt and whether it does have any prophylactic action against cancer. The author, in this article, which reviews the arguments and counter-arguments, summarises the opinion of several specialists about this matter. The advice given seems to be very divided as far as the indications are concerned, the author himself reserving coagulation especially for those cervices from which pathological discharges emanate, after he has controlled the state by smears and colposcopy, and has considered atypical epithelia as a contra-indication to coagulation. The variety of techniques in use prove that the problem has not been resolved. To bipolar diathermy coagulation has followed cryosurgery and coagulation at 90 degrees C. Finally, the prophylactic role against cancer is discussed. Whatever the attitude taken, coagulation of the cervix does not mean that follow-up may be dispensed with.
宫颈凝固术是最常实施的妇科手术之一。尽管如此，支持者和反对者围绕该手术的适应证、最佳采用技术以及它是否对癌症有预防作用产生了诸多争论。在本文中，作者回顾了这些正反观点，总结了几位专家对此事的看法。就适应证而言，所给出的建议似乎分歧很大，作者本人将凝固术特别用于那些经涂片和阴道镜检查确定病情后有病理性分泌物的宫颈，并且将非典型上皮视为凝固术的禁忌证。所使用技术的多样性证明该问题尚未得到解决。继冷冻手术和90摄氏度凝固术后又采用了双极透热凝固术。最后，讨论了其对癌症的预防作用。无论采取何种态度，宫颈凝固术并不意味着可以省去后续随访。
