Clinical analysis of cervical intraepithelial neoplasia with cold knife conization and cervical plasty

Objective:To explore the valuation of cervical cold knife conization and cervical plasty in the diagnosis and treatment of cervical intraepithelial neoplasia.Methods:A retrospective study was carried to evaluate 133 cases with cervical intraepithelial neoplasiafrom January 2005 to May 2007 to compara the pathological results between cervical knife conization(CgC)and colposcopic multiple biopsies(MB).Results:Sixty-five out of 133(48.9%)cases had the same pathological reports between MBand CKC,68 cases had different results.Among the 68 cases thirty(22.5%)cases pathological results of CKC were in higher grade than those of MB.The average time of operation was 37.10 minutes and the blood loss was 34.77 ml.17(12.8%)cases had a litter blood loss.2 cases(1.5%)had continued blooding because of suture fall off.8(6.02%)cases occurred inflammation after operation.Conclusion:There are certainly different diagnosis between MB and CKC.CKC can compensate partially the deficiency of colposcopic MB and play a therapeutic role.Cervical plasty can less the number of blood.CKC is a easily operating,economical and practical method.