摘要
目的探讨宫颈上皮内瘤变Ⅲ级(CINⅢ)患者的术后随诊情况及其影响因素。方法回顾性分析1999年1月1日至2004年6月30日北京协和医院收治的293例 CINⅢ患者的临床资料,将有液基薄层细胞学(TCT)检查者定义为有效随诊,分析 CINⅢ患者的术后随诊情况及其影响因素。结果 293例患者中,有效随诊率为66.2%(194/293)。有效随诊的194例患者中18例(9.3%)TCT 检查异常。有效随诊患者中,首选宫颈锥切术患者的有效随诊率[70.5%(177/251)]明显高于首选子宫全切除术者[40.5%(17/42);P<0.05];接受妇科肿瘤专业医生手术患者的有效随诊率[71.9%(133/185)]明显高于非妇科肿瘤专业医生手术者[56.5%(61/108);P<0.01];年龄≥40岁患者的有效随诊率[58.5%(76/130)]明显低于<40岁者[72.4%(118/163);P<0.05];但根据患者的户籍是否在就诊地点,其有效随诊率[外地患者、北京患者的有效随诊率分别为65.9%(58/88)、66.3%(136/205)]比较,差异无统计学意义(P=0.100)。结论年龄≥40岁、接受子宫全切除术和非妇科肿瘤医生诊治明显影响患者的有效随诊率。CINⅢ患者术后的有效随诊率取决于临床医生和患者对本病的认识程度。
Objective To evaluate the fonow-up results of patients with cervical intraepithelial neoplasia Ⅲ （CINⅢ） after surgical treatment. Methods A retrospective analysis of consecutive patients with CIN Ⅲ after surgical treatment between Jan 1 st, 1999 and Jun 30 th, 2004 was performed. The followups of the patients after surgical treatment were assessed. Results In the follow-up of patients with CIN Ⅲ after surgical treatment, the rate of abnormal cytology was 9. 3%. The rate of follow-up was higher in patients with cervical conization than in patients with initial hysterectomy and in patients of the oncological group than of the non-oncological group. The rate of follow-up was lower in patients over 40 years old. There was no difference in the residential areas of the patients. Conclusions Cytological follow-up of patients with CIN Ⅲ after operation is varied. The rate of follow-up is lower in patients over 40 years old, in patients having initial hysterectomy and in patients of the non-oncological group. The rate of follow-up is associated with the knowledge about CIN of beth surgeons and patients.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2007年第2期107-110,共4页
Chinese Journal of Obstetrics and Gynecology
关键词
宫颈上皮内瘤样病变
妇科外科手术
随访研究
Cervical intraepithelial neeplasia
Gynecologic surgical procedures
Follow-up studies
作者简介
通信作者：潘凌亚，Emil：panly@pumch．ac.cn
