Clinical application of acicular electrosurgical knife conization
10.3969/j.issn.1671-332X.2023.12.040
- VernacularTitle:针状电极-高频电刀宫颈锥切术的临床应用
- Author:
Rui CHEN
1
;
Ting QIU
;
Lisha YI
;
Zhiliang GUO
;
Danni YI
;
Chunfang CAI
;
Bing JI
Author Information
1. 广州市妇女儿童医疗中心//广东省儿童健康与疾病临床医学研究中心 广东广州 510623
- Keywords:
Cervical intraepithelial neoplasia(CIN);
Acicular electrosurgical knife conization(AEKC);
Pregnancy-re-lated complications
- From:
Modern Hospital
2023;23(12):1958-1960
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and clinical value of using acicular electrosurgical knife for coniza-tion of cervix in the diagnosis and treatment of cervical intraepithelial neoplasia(CIN).Methods A retrospective analysis was conducted on the surgical data,pathological findings,and pregnancy-related complications of 60 patients who underwent acicular electrosurgical knife conization(AEKC)from January 2016 to December 2019.Results The operation time ranged from 10 to 140 minutes(median,26 minutes),and the amount of bleeding during surgery was minimal to 100 mL(median,10 mL).The cone cutting width is between 1-3 cm,the cone cutting depth is between 0.5-2.5 cm.No hemorrhoeaoccur within 14 days after surgery.The pathological concordance rate before and after surgery was 68.3%,the margins were clear and negative,and the ex-cision rate was 100%.The incidence of cervical incompetency,preterm birth and premature rupture of membranes during preg-nancy after AEKC was 3.3%,18.6%and 23.7%respectively.Conclusion By selecting acicular electrosurgical knife,suffi-cient excision and intraoperative hemostasis were ensured during conization.At the same time,it does not affect the pathological diagnosis of margin.Moreover,it has a low incidence of pregnancy-related complications such as cervical incompetency,preterm birth and premature rupture of membranes.
