宫颈锥体发育不良和原位癌。伴随子宫刮除的作用[j]。

J Kazadi Buanga, M J Acosta Vazquez
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引用次数: 0

摘要

目的:重新评价宫颈锥活检常规子宫刮除术的有效性。资料:回顾性分析18年来250例宫颈锥活检。结果:共纳入可分析病例240例。仅行宫颈锥活检90例,宫颈锥活检伴刮宫150例。刮刮材料组织学正常115次(76.6%),阴性或无效26次(17.3%),病理10次(6.6%)。病理包括增生7例,子宫内膜炎3例。结论:常规子宫刮除除在某些特殊情况下的临床状况和超声表现外,任何时候进行子宫锥活检都没有价值。
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[Cervical conization in dysplasia and carcinoma in situ. Role of concomitant uterine curettage].

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.

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