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通常认为宫颈瘜肉是一种宫颈良性肿瘤或病变,大部分在门诊采用拧转法除去。但少数可见癌组织在瘜肉中发生,而转变为上皮样癌。所以彻底除肿瘤蒂极其重要。拧转法不能切除肿瘤蒂,用常规诊断方法见不到它。现采用CO_2子宫镜检查法检查宫颈管及子宫腔以发现瘜肉茎的部位,长度及附着部位。1869年Pantaleoni采用了老式的内镜检查法,最近才有所改进。本研究以CO_2气体做为扩充介质,可满意地造成持久性的子宫充气,不产生模糊,这种挡风玻璃擦布作用可保证视野清晰。材料和方法 27至71岁的36名妇女被诊为宫颈外瘜肉而转来检查。其中10名无症状,6名主诉病因不明的疼痛,13名出血和7名阴道排液。
Cervical pterygium is generally considered a benign tumor or lesion of the cervix, most of them in the clinic using twist method to remove. However, a small number of visible cancerous tissue occurs in the pterygium, which translates into epithelioid carcinoma. So completely remove the tumor is extremely important. Screw method can not remove the tumor pedicle, using conventional diagnostic methods can not see it. Is the use of CO_2 hysteroscopy check the uterine cervix and uterine cavity to find the site, length and attachment site. Pantaleoni 1869 the use of the old endoscopy, only recently improved. In this study, CO 2 gas was used as an expansion medium, which could satisfactorily prolong uterine inflation without blurring. The windshield wiping effect can ensure a clear vision. Materials and Methods Thirty-six women aged 27 to 71 were referred for extra-cervical pterygium and examined. Of which 10 were asymptomatic, 6 complained of unknown etiology, 13 bleeds and 7 vaginal discharges.