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目的分析早期宫颈癌锥切治疗后肿瘤及妊娠结局。方法选取2014年1月~2016年1月收治的22例具有生育要求的早期宫颈癌患者为研究对象,所有患者均进行锥切治疗,对其肿瘤结局与妊娠结局进行研究分析。结果术前病理检查结果显示有10例患者为宫颈癌ⅠA1期,12例患者为CIN,术后病理检查结果将其证实为鳞状细胞癌;10例尝试进行妊娠的患者中,有5例患者成功妊娠,其中有1例早孕胎停育,1例药物流产,1例自然流产,2例足月分娩。结论锥切治疗早期宫颈癌的安全性较高,能够获得理想的妊娠结果,术后复发率较低,临床医师要合理把握手术适应征,将患者预后改善。
Objective To analyze the tumor and pregnancy outcome after conization of early cervical cancer. Methods Twenty-two patients with early stage cervical cancer who had fertility requirements were selected from January 2014 to January 2016. All the patients were treated with conization and their tumor outcome and pregnancy outcome were analyzed. Results The results of preoperative pathological examination showed that 10 patients were stage ⅠA1 cervical cancer and 12 patients were CIN. Postoperative pathological examination confirmed that they were squamous cell carcinoma. Among the 10 patients who tried pregnancy, 5 patients Successful pregnancy, of which 1 case of early pregnancy, childbirth, 1 case of medical abortion, 1 case of spontaneous abortion, 2 cases of full-term delivery. Conclusions Cone-cutting treatment of early cervical cancer is more safe, can achieve the desired pregnancy results, postoperative recurrence rate is low, clinicians should be a reasonable grasp of surgical indications, the prognosis of patients improved.