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目的探讨术前宫颈搔刮术(ECC)在宫颈锥形切除术中的临床应用价值及意义。方法对行宫颈锥形切除术的290例术前ECC病理结果为阳性的宫颈CIN患者的临床资料进行回顾性分析和总结。结果术前ECC病理结果CINⅠ、CINⅡCINⅢ分别为56例、82例、152例,与锥切术后病理相符率为48.2%,73.2%,84.2%,三者比较差异有统计学意义(P<0.05)。术前ECC结果为CINⅠ,CINⅡ,CINⅢ术后切缘阳性例数分别为0,8,14例,三者比较差异有统计学意义(P<0.05)。结论术前ECC病理级别与术后病理级别、切缘情况有良好的一致性,可以评估颈管情况,指导锥切手术范围。
Objective To investigate the clinical value and significance of preoperative cervical scraping (ECC) in cervical conization. Methods A retrospective analysis and summary of the clinical data of 290 patients with cervical CIN who underwent conization of cervical conization before surgery were performed. Results The preoperative ECC results of CINⅠ, CINⅡ and CINⅢwere 56 cases, 82 cases and 152 cases, respectively, which were 48.2%, 73.2% and 84.2% respectively. The differences between the two methods were statistically significant Significance (P <0.05). Preoperative ECC results for CIN Ⅰ, CIN Ⅱ, CIN Ⅲ cases after the number of positive margins were 0, 8, 14 cases, the difference was statistically significant (P <0.05). Conclusions There is a good consistency between the pathologic grade of ECC and the postoperative pathological grade and margins of ECC, which can evaluate the situation of the neck canal and guide the scope of the conization.