Hakverdi A U, Gül T, Taner C E, Vural A, Erden A C, Yilmaztürk A
Dicle University, Medical Faculty, Diyarbakir, Turkey.
Zentralbl Gynakol. 1997;119(1):16-20.
The effectiveness and morbidity of excisional biopsy of cervical tissue using the electrosurgical excision procedure for the treatment of chronic cervicitis was investigated. In this study, loop diathermy was used in the treatment of one hundred patients with chronic cervicitis. Before the procedure, cervical smear and colposcopic examination were done. Then the loop diathermy was performed under local anesthesia. All the removed specimens were evaluated histopathologically. The mean operation time was 6.34 +/- 1.37 minutes. The complication of bleeding and secondary infection were 5% and 4%, respectively. All the patients had normal cervical smear (Papanicolaou class I or II). In the microscopic evaluation, thermal damage of the removed specimens were negligible. Six cases (6%) with CIN (CIN I = 4, CIN II = 2) were determined and the others (94%) were reported as chronic cervicitis in the histopathologic examinations of the removed specimens. After the operation, these cases with CIN were followed up for one year with cervical smears and colposcopic examinations. One of the six patients with CIN had recurrence and underwent cold-knife conization. This new technique is simple, quick and cheap. It can be used confidently to provide both diagnosis and treatment with minimal thermal tissue injury in cases with chronic cervicitis.
研究了采用电外科切除程序对宫颈组织进行切除活检治疗慢性宫颈炎的有效性和发病率。在本研究中，环形透热疗法用于治疗100例慢性宫颈炎患者。手术前，进行宫颈涂片和阴道镜检查。然后在局部麻醉下进行环形透热疗法。所有切除的标本均进行组织病理学评估。平均手术时间为6.34±1.37分钟。出血和继发感染的并发症分别为5%和4%。所有患者宫颈涂片均正常（巴氏I级或II级）。在显微镜评估中，切除标本的热损伤可忽略不计。在切除标本的组织病理学检查中，确定6例（6%）为宫颈上皮内瘤变（CIN I = 4例，CIN II = 2例），其他（94%）报告为慢性宫颈炎。手术后，对这些CIN病例进行了为期一年的宫颈涂片和阴道镜检查随访。6例CIN患者中有1例复发并接受了冷刀锥切术。这项新技术简单、快速且廉价。它可以放心地用于在慢性宫颈炎病例中以最小的组织热损伤提供诊断和治疗。
