老师您好，6年前我得了宫颈7点的尖锐湿疣，病理是尖锐湿疣合并CIN1-2，活检切下后3天大出血，小血管活动性出血，医生帮我缝合了伤口，但是说还有剩余的疣体残留，但是为了救命就帮我缝合起来了，之后3个月阴道镜检查说7点处疤痕覆盖，做刮片正常，因为还没生育不敢做LEEP.

2年前我生了可爱的宝宝，生完后宫颈7点疤痕处了活检，结果是慢性宫颈炎，之后做了LEEP锥切，病理结果也是慢性宫颈炎，可是做完LEEP后就一直有性生活后出血的情况，医生也帮我看了说是伤口恢复好的，我现在就想问一下老师你们看LEEP锥切后的切片的话，是不是切下来多少就看多少？大概深度有0.7CM,全片都看吗？还是只看表面部位。我担心我当初疣体没有完全切割干净，CIN1-2朝宫颈深部发展为癌，而宫颈表面是疤痕，病理医生只注意宫颈表面疤痕部位没有看到疤痕底下组织，所以医生病理切片检查不出！
这个问题我也问过医生，她说她不懂，要问病理的医生，我现在天天想这个问题，看着可爱的宝宝心理压力好大，因为一方面还是性出血。希望老师帮我分析一下，就是锥切下来的包括疤痕和底下的组织，疤痕底下组织有癌的话，病理切片看得出来吗,如果锥切切下来深度0.7，你们整个切片都会看吗？？

 I agree with Quanzi's explanation. Usually condyloma is exophytic growth and often is infected with low risk HPV 6/11. Even with focal dysplasia, such as your case with CIN2, LEEP should be able to get rid of the whole lesion. But given your continous contact bleeding, I suggest you to have a high risk HPV test as part of the follow up. You should also have a PAP test, better with brush to collect endocervical cells. If both cytology and HPV are negative, you may want to see your doctor again. If ectocervix is normal, you need to do a Endocervical curretting to rule out endocervical abnormality.

If I confuse you here, please send your phone number to my email for further discussion.

 据我所知国内做HPV检测高危低危都是一起做的

请楼主按杨斌老师的指点做宫颈细胞学检查和HPV检测，如果都是阴性，宫颈外口正常的话，可以做宫颈管搔刮排除宫颈管病变

还有什么不明白的可以把你的电话发到杨斌老师邮箱

对于一个陌生人，杨斌老师如此关爱足见老师的仁慈之心，医者父母心！这让我想起杨斌老师曾经提起的美国医学教育体制，感谢杨斌老师，学习杨斌老师