| 董晓霞,陈育梅,胡仙淸,张慧娜.宫颈残端病变57例临床分析[J].浙江中西医结合杂志,2014,24(7): |
| 宫颈残端病变57例临床分析 |
| Lesions Of Retained Cervical Stump: Clinical Analysis Of 57Cases |
| 投稿时间：2013-12-17 修订日期：2014-02-07 |
| DOI： |
| 中文关键词: 子宫次全切除术 宫颈残端 病变 预防 |
| 英文关键词:Subtotal hysterectomy Cervical stump Lesion Prevention |
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| 中文摘要: |
| 目的：分析子宫次全切除术后宫颈残端病变的临床表现,探讨其治疗方法及预防措施。方法：回顾性分析2003年1月1日至2012年12月31日温州医科大学附属第二医院及温州医科大学温州市第三临床医院收治的57例宫颈残端病变患者的临床资料。结果：宫颈残端病变患者主要临床表现为阴道不规则流血,接触性出血,阴道分泌物增多和盆腔包块。57例患者中,11例为宫颈鳞癌,18例为宫颈残端平滑肌瘤,28例为宫颈上皮内瘤变(CIN)II－III级。57例患者均行手术治疗,术中无明显并发症。结论：宫颈残端病变的治疗以手术为主。严格掌握子宫次全切除术的指征,术前需排除子宫、宫颈疾病,术后严密随访,及时发现宫颈残端病变并处理。 |
| 英文摘要: |
| Objective : To analyze the clinical character of the lesions of retained cervical stump and to explore the treatment and prevention . Method : 57 cases with the lesions of retained cervical stump were retrospectively analyzed in The Second Affiliated Hospital and The Third Clinical College Of Wenzhou Medical University between January 1st 2003 and December 31th 2012 . Result: The main clinical manifestations of the lesions of retained cervical stump were irregular vaginal bleeding , contact bleeding ,vaginal discharge and pelvic mass. Of 57 patients , 11 patients were squamous carcinoma ,18 patients were leiomyoma of the cervical stump, 28 patients were cervical intraepithelial neoplasia (CIN) II－III. 57 cases were operated successfully without complications . Conclusion : The main treatment of the lesions of retained cervical stump is operation . The operative indications of subtotal hysterectomy must be mastered strictly , the lesions of uterus and cervix should be eliminated before operation ,closed follow-up should be performed after operation ,as a result ,the lesions of retained cervical stump could be discovered and treated promptly. |
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