不同方法治疗宫颈糜烂效果分析.docVIP

不同方法治疗宫颈“糜烂”效果分析 　　[摘要] 目的 正确认识宫颈“糜烂”以及寻找最恰当的治疗方法。 方法 选取98例经药物治疗未愈且有症状的宫颈“糜烂”患者，阴道镜下36例行高频电刀治疗，20例波姆光治疗，16例激光治疗，26例LEEP治疗。 结果 高频电刀治疗宫颈“糜烂”、宫颈管黏膜增生的总有效率均为100%，术后仅2例有宫颈轻度损伤，均无宫颈瘢痕形成。结论 宫颈“糜烂”是育龄期妇女的一种生理变化，一般无需治疗，对部分药物治疗未愈且有症状的患者，高频电刀治疗是一种损伤小、疗效确切的治疗手段。 　　[关键词] 阴道镜；宫颈“糜烂”；高频电刀 　　[中图分类号] R711.74[文献标识码] A[文章编号] 1674-4721（2014）05（b）-0020-04 　　 　　Effect analysis of the of different methods of treatment of cervical erosion 　　WANG Yu-fei 　　Maternity and Infant Hospital of Siping City in Jilin Province,Siping 136000,China 　　[Abstract] Objective To correctly understand cervical erosion and find the most appropriate treatment. Methods 98 patients with cervical erosion had not been cured by drugs but still had symptoms of cervical erosion were selected.Under colposcopy, 36 patients were used with high-frequency electric knife,20 patients with Pome,16 with laser,26 patients with LEEP.Results The total effective rate of high-frequency electric knife to cervical erosion and cervical canal mucosa hyperplasia was 100%,in which only 2 patients had mild cervical injury but no cervical scarring. Conclusion Cervical erosion is a physiological change in women of child-bearing period,which is usually no need for treatment.High-frequency electric knife is a curative treatment having little injury and with exact efficacy for the patients had not been cured but still had symptoms of cervical erosion. 　　[Key words] Colposcopy;Cervical erosion;High-frequency electric knife 　　长期以来，普遍认为宫颈“糜烂”是慢性宫颈炎的表现，应给予治疗。实际上过去称为宫颈“糜烂”并非真性糜烂，是宫颈柱状上皮异位，不需治疗[1]。宫颈“糜烂”合并感染，经抗炎治疗及治宫颈药物治疗后仍未愈，有明显症状：阴道分泌物增多、宫颈黏液增多、异味、接触性出血，甚至部分患者有腰骶部疼痛、?痛或下腹坠痛等，严重影响患者生活质量时才需行手术治疗。本院手术治疗方法有高频电刀治疗、波姆光治疗、激光治疗、LEEP宫颈锥形切除术。本研究对本院行门诊手术治疗的患者98例进行分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2009年3月~2011年3月在本院检查、治疗的宫颈“糜烂”患者98例。36例高频电刀治疗，20例波姆光治疗，16例激光治疗，26例LEEP治疗。年龄20～45岁，平均30岁，患者均有临床症状且持续3个月以上，影响生活质量，患者有心理负担，强烈要求手术治疗。所有患者3个月内高危型人乳头瘤病毒（HC2 HPV DNA检测）均阴性，阴道镜检查满意且未见异型血管、异常上皮。检查前患者有阴道分泌物增多、异味，外阴或阴道瘙痒，性生活出血，个别患者有腰骶部疼痛、酸痛或下腹坠痛等，严重影响生活质量。经检查有阴道炎患者均治愈阴道炎，每月给