子宮頸部腫瘍に対する外来でのレーザー円錐切術術

抄録

Laser excisional conization was performed on 310 cases with cervical neoplasia (glandular dysplasia; 2, dysplasia; 181, CIS; 68, questionable micro invasive cancer; 56, micro invasive cancer; 2, questionable invasive cancer; 1) by using various lasers such as YAG, CO₂ and KTP/YAG lasers. Two hundreds and eighty eight of 310 patients were operated with an administration of local anesthesia at an outpatient basis. Our initial cure rates of 289 patients (CIN; 255, MIC; 33, micro invasive adeno cancer; 1)were 96.9%. On the other hand, there was no evidence of recurrence in 21 patients who received the additional surgery. The complications during and post operations were minimal. Our methods were confirmed to be an excellent treatment for cervical neoplasia.