宫腔镜电切术护理慢性宫颈炎良性病变疗效与对炎性因子影响.docVIP

宫腔镜电切术护理慢性宫颈炎良性病变的疗效及对炎性因子的影响 王亲益 北京宣武医院妇产科【摘要】目的探讨宫腔镜电切术护理慢性宫颈炎(chronic cervicitis)良性病变的疗效及对炎性因子的影响。方法分 析我院自2011年1月～2012年1月收治的84例慢性宫颈炎患者，随机数字表法分为观察组44例给予宫腔镜下治 疗并联合金菊千里光洁美洗液医用纱布上药护理和对照组40例给予激光治疗。比较两组炎性因子(TNF一仅、hs—CRP、SOD、IL)水平变化、临床总体疗效以及术后并 发症情况。结果①观察组治疗后血清炎性因子TNF一0l、hs—CRP、IL、SOD水平的变化水平低于对照组，两组比较差 异有统计学意义(P0．05)。②两组总有效率分别为95．4％(42／44)、77．5％(31／40)，两组比较差异有统计学意义(x = 4．86，P0．05)。③观察组创面感染、乳头瘤样结节增生及复发率均低于对照组，两组比较差异有统计学意义(P 0．05)。结论官腔镜下电波刀治疗慢性宫颈炎良性病变，可改善血清炎性因子水平、提高临床总有效率、减少并发 症的发生、降低复发率。 [关键词】慢性宫颈炎；宫腔镜电切术；激光；炎性因子 9701(2012)36—0031—02 The efi cacy of hysteroscope electrotomy in treatmeat of chronic cervicitis and the influence on inflammatory factors CHEN Ling Department of Gynaecology，Hunan People’S Hospital，Changsha 410005，China [Abstract]Objective To investfgate the hysteroscopic electrotomy treat chronic cervicitis benign lesions and the influence of inflammatory factor．Methods A total of 84 cases of chronic cervicitis from January 201 1 to January 2012，were ran— domly divided into observation group(44 cases)which were given hysteroscopyand and experimental group(40 cases)which were given laser treatment．The level of hs—CRP，IL，TNF—Ot，SOD，clinical curative effect，complications situation were compared．Results(1)The difference of the level of inflammatory factor TNF-a，hs-CRP，IL，SOD between control group and observation group were statistically significant(P0．05)．(2)The total effective rate were 95．4％(42／44)，77．5％ (31／40)in two groups(X2=4．86，P0．05)．(3)The difference of wound infection，papilloma sample nodular hyperplasia and recurrence rates were statistically significant(P0．05)．Conclusion Hysteroscopy radio knife can improve the level of serum inflammatory factor，enhance the total clinical efficiency，reduce the incidence of complications and the rate of recurrence． [Key words]Chronic cervicitis；Hysteroscopy radio knife；Laser；Inflammatory factor 慢性宫颈炎是妇科常见疾病，临床治疗不及时会发展成 为难治性疾病，甚至发展成宫颈癌ItI。传统的宫颈炎症治疗主 要是激光、微波等物理治疗，但传统物理治疗方法对El颈内 较深处的病变则无法彻底根治，只对宫颈外口病变效果确 切，导致容易复发的缺陷。本组应用