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首页> 外文会议>Photothermal Therapies in Medicine >Laser conization for the treatment of cervical intraepithelial neoplasia: the experience of the Colposcopy and Laser Surgery Unit Department of Obstetrics and Gynecology Conegliano Hospital
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Laser conization for the treatment of cervical intraepithelial neoplasia: the experience of the Colposcopy and Laser Surgery Unit Department of Obstetrics and Gynecology Conegliano Hospital

机译：激光锥切术治疗宫颈上皮内瘤变：妇产科科内利亚诺医院阴道镜和激光手术科的经验

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Abstract: From November 1990 to December 1995 eighty patients were treated with laser conization. They were high grade CIN extending to the endocervical canal and/or with purely ectocervical lesions and patients with low grade endocervical CIN persisting more than one year or cyto- histological discrepancy. Before surgery all the patients had colposcopy, cytology and guided cervical biopsies. Seventy-six out of eighty underwent local anaesthesia and in three cases a general anaesthetic was required although one case was treated without any anaesthesia. Complementary vaporization of the cone bed was performed in every single case. All specimens were judged fully evaluable by the pathologist. The accuracy of the preconization histology as evaluated in 79 patients. Exact agreement or a one degree discrepancy between punch biopsies and cone specimens was found in 96.25%. We did not find any unexpected invasive carcinoma. The apex of the specimen was free of disease in 93.75% of cases. A high grade lesion on the endocervical margin was found in 4 out of 5 cases with an apex involvement. Stenosis of the external cervical os occurred in 7 cases, 3 of which were symptomatic. In our experience laser conization is an effective and safe treatment of CIN with the results comparable to the literature.!11
机译：摘要：1990年11月至1995年12月，对80例患者进行了激光锥切治疗。他们是延伸至宫颈管和/或纯宫颈病变的高级别CIN，低级宫颈CIN持续超过一年或细胞组织学差异的患者。手术前所有患者均接受阴道镜检查，细胞学检查和宫颈活检。 80例患者中有76例接受了局部麻醉，其中3例需要全身麻醉，尽管1例未经任何麻醉即可治疗。在每种情况下都进行锥床的互补汽化。病理学家对所有标本进行了全面评估。在79例患者中评估了预孕组织学的准确性。打孔活组织检查和锥体样本之间的精确一致性或一度差异为96.25％。我们没有发现任何意外的浸润性癌。 93.75％的病例标本顶端无病。 5例中有4例伴有先端累及，发现宫颈上缘有高度病变。颈外口狭窄7例，其中3例有症状。根据我们的经验，激光锥切术是一种有效且安全的CIN治疗方法，其结果可与文献媲美！11

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