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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Cold coagulation in the treatment of cervical intraepithelial neoplasia
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Cold coagulation in the treatment of cervical intraepithelial neoplasia

机译:冷凝治疗宫颈上皮内瘤变

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摘要

In 1975, Rocket of London offered me an 'opportunity to assess a possible new role in the out-patient treatment of cervical intra-epithelial neoplasia (CIN) for a portable instrument listed in their catalogue, marketed as the Cold-Coagulator, designed in 1966 in Germany by Kurt Semm for treating benign cervical conditions and manufactured by WISAP. Differently shaped treatment thermosounds attached to an electronic monitor were applied serially to destroy cervical erosions using various pre-selected temperatures up to 90°C. In contrast to electrodiathermy, there was no smoke and therefore no smell. Treatment was simple, quick and reputedly painless, although I found most patients did experience tolerable uterine cramping. I tried out the instrument on three patients in 1975 in the Ninewells Colposcopy Clinic in Dundee, Scotland, one of the very first colposcopy clinics in the UK, before introducing it in 1978 as routine treatment for all grades of CIN by my medical trainees as well as myself (Duncan et al. BIOG 2007;114: 777-8).
机译:1975年,伦敦的Rocket公司为我提供了“机会,以评估在其目录中列出的便携式仪器(在市场上销售的Cold-Coagulator)在门诊治疗宫颈上皮内瘤样变(CIN)中的可能的新作用”, 1966年,库尔特·塞姆(Kurt Semm)在德国由WISAP制造,用于治疗良性宫颈疾病。使用各种预先选定的温度(最高90°C),依次施加附着在电子监视器上的不同形状的治疗热音,以破坏宫颈糜烂。与电热疗法相反,它没有烟,因此也没有气味。尽管我发现大多数患者确实经历了可忍受的子宫痉挛,但治疗方法简单,快捷且据说无痛。 1975年,我在苏格兰邓迪的Ninewells阴道镜诊所(英国最早的阴道镜诊所之一)对3例患者进行了试验,然后在1978年由我的医学见习人员将其用作常规治疗所有等级的CIN (Duncan等人,BIOG 2007; 114:777-8)。

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