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目的:探讨宫颈上皮内瘤变Ⅲ级患者的诊断和治疗方法。方法:对宁夏盐池县人民医院2007年1月～2011年12月住院治疗的236例宫颈上皮内瘤变Ⅲ级患者的诊断、治疗及随访情况进行回顾性分析。结果:205例患者术后病理结果同术前,仍为CINⅢ,未累及切缘,21例降为CINⅡ、Ⅰ或慢性宫颈炎。192例患者行宫颈锥切术,44例患者行子宫全切术,术后病理与术前宫颈活检病理符合率86.86%,术后出血发生率5.51%,随访6～53个月,无复发患者。结论:对于年轻或有生育要求的宫颈上皮内瘤变Ⅲ级患者行宫颈锥切术是安全有效的,但需严密随访。
Objective: To investigate the diagnosis and treatment of cervical intraepithelial neoplasia grade Ⅲ patients. Methods: The diagnosis, treatment and follow - up of 236 cases of cervical intraepithelial neoplasia in grade Ⅲ hospitalized in Yanchi County People ’s Hospital from January 2007 to December 2011 were retrospectively analyzed. Results: The postoperative pathologic findings of 205 patients were still CIN Ⅲ, no margins were involved, and 21 were reduced to CIN Ⅱ, Ⅰ or chronic cervicitis. 192 patients underwent conization of the cervix, 44 patients underwent hysterectomy, pathological and preoperative cervical biopsy coincidence rate of 86.86%, the incidence of postoperative bleeding was 5.51%, followed up for 6 to 53 months, patients without recurrence . CONCLUSIONS: Cervical conization is safe and effective for patients with grade Ⅲ cervical intraepithelial neoplasia who are young or have fertility requirements. However, strict follow-up is needed.