目的 :探讨采用普通电手术刀替代的冷刀子宫颈锥切法在治疗子宫颈病变中的临床价值。方法 :2 0 0 4年 5月至 2 0 0 4年 9月 ,采用普通电手术刀对 16例宫颈病变 (CINⅢ级 9例 ,CINⅡ级 4例 ,宫颈肌瘤 2例 ,宫颈旧裂 1例 )患者施行子宫颈锥切术。结果 :16例患者均沿病灶外缘 0 .5～ 1cm锥形切除子宫颈 ,锥尖长约 2～ 2 .5cm。平均手术时间 5 7.81分钟 (30～ 110分钟 ) ,平均出血量约 4 0ml(10～ 10 0ml)。术后无感染及出血 ,平均住院时间 5 .1天。术中及术后病理学检查未发现有间质浸润及切缘病灶。经随访 1～ 5月 ,宫颈伤口术后 1月愈合 ,3月宫颈外口完全恢复成圆形 ,细胞学检查未见异常。结论 :采用普通电手术刀替代冷刀锥切法 ,手术时间短 ,出血量少、术后恢复快 ,是一种值得推广的治疗宫颈病变的手术方法 Objective: To investigate the clinical value of cold knife cervical cone conization in the treatment of cervical lesions by using common electric scalpel instead. Methods: From May 2004 to September 2004, 16 cases of cervical lesions (CIN Ⅲ grade 9 cases, CIN Ⅱ grade 4 cases, cervical myoma 2 cases, 1 case of cervical old cleft) ) Patients underwent cervical conization. Results: All the 16 patients underwent taper resection of the cervix along the outer edge of the lesion, with a conical tip of about 2 ~ 2.5cm. The average operation time of 5 7.81 minutes (30 ~ 110 minutes), the average amount of bleeding about 4 0ml (10 ~ 100ml). No postoperative infection and bleeding, the average hospital stay of 5.1 days. Intraoperative and postoperative pathological examination found no interstitial infiltration and margin lesions. After 1 to 5 months of follow-up, the cervical wound healed after 1 month and the cervix was completely recovered to a round in March. Cytological examination showed no abnormalities. Conclusion: The common electric scalpel instead of cold knife taper incision, short operative time, less bleeding, rapid recovery after surgery is a worthy of promotion of surgical treatment of cervical lesions