[宫颈发育异常和原位癌的宫颈锥切术。同期子宫刮宫术的作用]
[Cervical conization in dysplasia and carcinoma in situ. Role of concomitant uterine curettage].
作者信息
Kazadi Buanga J, Acosta Vazquez M J
机构信息
Departamento de Ginecologia, Clinica Universitaria, Pamplona, Navarra, Espana.
出版信息
Rev Fr Gynecol Obstet. 1994 Dec;89(12):602-5.
OBJECTIVE
Reevaluation of the usefulness of routine uterine curettage with every cervical cone biopsy.
MATERIAL
Retrospective analysis of 250 cervical cone biopsies over an 18 year period.
RESULTS
240 analysable cases were included. 90 patients had undergone cone biopsy only and 150 cone biopsy accompanied by uterine curettage. Curettage material was histologically normal 115 times (76.6%), negative or invalid 26 times (17.3%) and pathological 10 times (6.6%). Pathology consisted of 7 cases of hyperplasia and 3 of endometritis.
CONCLUSION
Routine uterine curettage whenever cone biopsy is performed is of no value other than in certain special circumstances concerning clinical status and ultrasound findings.
目的
重新评估每次宫颈锥切活检时常规子宫刮宫术的实用性。
材料
对18年间250例宫颈锥切活检进行回顾性分析。
结果
纳入240例可分析病例。90例患者仅接受了锥切活检，150例锥切活检同时进行了子宫刮宫术。刮宫材料组织学检查正常115次（76.6%），阴性或无效26次（17.3%），病理检查10次（6.6%）。病理结果包括7例增生和3例子宫内膜炎。
结论
除了在某些与临床状况和超声检查结果相关的特殊情况下，每次进行锥切活检时常规子宫刮宫术并无价值。
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