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妇科最常见的恶性肿瘤-宫颈癌,近年来发病越发年轻化其死亡率居女性肿瘤的前两位,已逐渐跃居危害妇女身体健康的主要杀手。目前浸润性宫颈癌已经比较少见,其死亡率也已逐年下降,退居卵巢癌之后。但是,仅仅依靠宫颈细胞学不足以预防宫颈癌。预防宫颈癌的发病率,必须及时清除癌前宫颈病变即宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)。近年来,由于病毒感染引起,年轻妇女CIN的发生率呈明显的上升趋势,据美国病理报告表明,每年超过1百万的妇女患CIN1500000妇女患CINⅡ,Ⅲ。治疗病变方法:随诊观察,局部切除,电灼,冷冻,激光,电圈切除(术),锥切术或子宫切除术。这些方法已被广泛用于临床,如何适当地使用这些方法在治疗不同程度的病变,达到正确的治疗目的 ,避免过度或不足的治疗,是一个值得探讨的问题和困惑。
The most common gynecological malignancy - cervical cancer, the incidence of younger patients in recent years, the mortality rate of the top two female cancer, has gradually jumped to endanger the health of women’s major killers. Infiltration of cervical cancer has been relatively rare, and its mortality rate has dropped year by year, after retreated to ovarian cancer. However, cervical cytology alone is not enough to prevent cervical cancer. To prevent the incidence of cervical cancer, we must promptly clear the precancerous cervical lesions that cervical intraepithelial neoplasia (CIN). In recent years, the incidence of CIN in young women has been on the rise because of viral infection. According to the U.S. pathology report, more than 1 million women suffer CINII and III from CIN1500000 women each year. Treatment of disease methods: follow-up observation, partial excision, electrocautery, freezing, laser, electrocautery resection (surgery), conization or hysterectomy. These methods have been widely used in clinical practice, how to properly use these methods in the treatment of varying degrees of disease, to achieve the correct treatment and avoid excessive or inadequate treatment, is a worthwhile study of the problems and confusion.