宫颈锥切术的临床应用进展
邵毅;董瑞英;
摘要(Abstract):
近年,随着宫颈癌筛查的广泛应用,宫颈病变能早发现、早治疗,宫颈锥切术在临床的应用越来越广泛。目前常用宫颈锥切术有:传统的冷刀宫颈锥切术(CKC)、激光锥切术(lasecone)和子宫颈电热圈环切术(LEEP及LLETZ)。在临床实践中,宫颈锥切术被广泛应用于宫颈病变的诊断与治疗。
关键词(KeyWords): 宫颈上皮内瘤样病变;子宫颈;阴道镜检查;病理学,临床
基金项目(Foundation):
作者(Authors): 邵毅;董瑞英;
DOI: 10.13283/j.cnki.xdfckjz.2013.05.030
参考文献(References):
- [1]Ahmedin J,Freddie B,Melissa MC.Global Cancer Statis-tics[J].CA Cancer J Clin,2011,61(1):69-90
- [2]郎景和,子宫颈癌预防的现代策略[J].中国医学科学院学报,29(5):575-578
- [3]沈铿,宫颈上皮内瘤变治疗方法的选择[J].中华医学杂志,2006,86(5):291-294
- [4]郎景和,子宫颈上皮内瘤变的诊断与治疗[J].中华妇产科杂志2001,36(5):261-263
- [5]Boonlikit S,Asavapiriyanont S,Junghuttakarnsatit P,et al.Correlation between colposcopically directed biopsy andlarge loop excision of the transformation zone and influ-ence of age on the outcome[J].J Med Assoc Thai,2006,89(3):299-305
- [6]沈铿,郎景和,黄惠芳,等.子宫颈锥切术在子宫颈上皮内瘤变诊断和治疗中的价值[J].中华妇产科杂志,2001,36(5):264-266
- [7]Kocken M,Helmerhorst TJ,Berkhof J,et al.Risk of recur-rent high-grade cervical intraepithelial neoplasia after suc-cessful treatment:a long-term multi-cohort study[J].Lan-cet Oncol,2011,12(5):441-50
- [8]Kang SB,Roh JW,Kim JW,et al.A comparison of thetherapeutic efficacies of large loop excision of the trans-formation zone and hysterectomy for the treatment of cer-vical intraepithelial neoplasia III[J].Int J Gynecol Canc-er,2001,11(5):387-391
- [9]Ueda M,Ueki K,Kanemura M,et al.Diagnostic and thera-peutic laser conization for cervical intraepithelial neoplasia[J].Gynecol Oncol,2006,101(1):143-146
- [10]Christine HS,John OS,Kenneth R,et al.ConservativeManagement of Adenocarcinoma in Situ of the Cervix1[J].Gynecologic Oncology,2000,79(1):6-10
- [11]Kim ML,Hahn HS,Lim KT,et al.The safety of coniza-tion in the management of adenocarcinoma in situ of theuterine cervix[J].J Gynecol Oncol,2011,22:25-31
- [12]Widrich T,Kennedy AW,Myers TM,et al.Adenocarcino-ma in situ of the uterine cervix:Management and outcome[J].Gynecol Oncol,1996,61:304-308
- [13]丰有吉,沈铿,妇产科学[M],第2版,北京:人民卫生出版社,2010:330
- [14]Haller H,Kra!evi"M,Mamula O,et al.Treatmentand outcome of stageⅠA1 squamous cell carcinoma ofthe uterine cervix[J].Int J Gynaecol Obstet,2011,113(1):72-75
- [15]Herod J,Decruze S,Patel R.A report of two cases of themanagement of cervical cancer in pregnancy by cone bi-opsy and laparoscopic pelvic node dissection[J].BJOG,2010,117:1558-1561
- [16]Smith AL,Frumovitz M,Schmeler KM,et al.Conservativesurgery in early-stage cervical cancer:what percentage ofpatients may be eligible for conization and lymphadenec-tomy[J]Gynecol Oncol,2010,119(2):183-6
- [17]Maneo A,Chiari S,Bonazzi C,et al.Neoadjuvant chemo-therapy and conservative surgery for stage IB1 cervicalcancer[J].Gynecologic Oncology,2008,111:438-443
- [18]Li ZG,Qian DY,Cen JM,et al.Three-step versus“see-and-treat”approach in women with high-grade squamousintraepithelial lesions in a low-resource country[J].Int JGynecol Obstet,2009,106(3):202-205
- [19]宋学红.子宫颈电热圈环切术[J].现代妇产科进展,2006,15(2):157-160
- [20]Cardenas-Turanzas M,Follen M,Benedet JL,et al.See-and-treat strategy for diagnosis and management of cervi-cal squamous intraepithelial lesions[J].Lancet Oncol,2005,6(1):43-50
- [21]樊庆泊,Tay Sun Kuie,沈铿.子宫颈环形电切术在子宫颈上皮内瘤变治疗中的价值[J].中华妇产科杂志,2001,36(5):271-274
- [22]Dai HY,Duan YY,LIN W,et al.Diagnostic and Thera-peutic Cold Knife Conization for Cervical IntraepithelialNeoplasia[J].Clin Oncol Cancer Res,2010,7(1):18-21
- [23]Mathevet P,Dargent D,Roy M,et al.A Randomized Pro-spective Study Comparing Three Techniques of Coniza-tion:Cold Knife,Laser,and LEEP[J].Gynecol Oncol,1994,54(2):175-179
- [24]Nasu K,Narahara H.Management of severe cervical ste-nosis after conization by detention of nylon threads tiedup to intrauterine contraceptive device[J].Arch GynecolObstet,2010,281(5):887-889
- [25]Baldauf JJ,Dreyfus M,Ritter J,et al.Risk of cervical ste-nosis after large loop excision or laser conization[J].1996,88(6):933-938
- [26]Kyrgiou M,Koliopoulos G,Martin-Hirsch P,et al.Obstet-ric outcomes after conservative treatment for intraepitheli-al or early invasive cervical lesions:systematic reviewand meta-analysis[J].Lancet,2006,367(9509):489-498
- [27]Sadler L,Saftlas A,Wang W,et al.Treatment for cervicalintraepithelial neoplasia and risk of preterm delivery[J].JAMA,2004,291(17):2100-2106
- [28]Acharya G,Kjeldberg I,Hansen SM,et al.Pregnancy out-come after loop electrosurgical excision procedure for themanagement of cervical intraepithelial neoplasia[J].Arch Gynecol Obstet,2005,272(2):109-112