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目的探讨子宫颈原位癌临床诊治中的问题,提高对子宫颈原位癌的早期诊断和治疗的水平。方法对68例住院治疗的子宫颈原位癌患者临床资料进行分析。结果液基细胞学检查(TCT)检查38例,诊断高级鳞状上皮内宫颈细胞鳞状上皮内高度病变(HSIL)27例(90.00%),宫颈癌1例(3.33%);45例阴道镜检查者中诊断宫颈上皮内瘤变(CIN)者35例(77.78%),诊断宫颈癌5例(11.11%)。行筋膜外子宫切除术47例,宫颈锥切术21例。结论子宫颈原位癌患者发病年龄较小,多无明显的特异性症状,规范的进行宫颈癌筛查可以早期发现。
Objective To explore the clinical diagnosis and treatment of cervical carcinoma in situ and to improve the early diagnosis and treatment of cervical carcinoma in situ. Methods Clinical data of 68 cases of cervical carcinoma in situ were analyzed. Results Thirty-eight cases were diagnosed by liquid-based cytology (TCT) and 27 cases (90.00%) were diagnosed as advanced squamous intraepithelial neoplasia with squamous intraepithelial neoplasia (HSIL), 1 case (3.33%) with cervical cancer and 45 cases with colposcopy Among the examiners, 35 (77.78%) had cervical intraepithelial neoplasia (CIN) and 5 (11.11%) had cervical cancer. Forty-seven cases underwent extrafascial hysterectomy and 21 cases underwent cervical conization. Conclusion The age of onset of cervical carcinoma in situ is relatively small, with no obvious specific symptoms. Standardized screening for cervical cancer can be detected early.