摘要
目的探讨高频电波刀联合聚甲酚磺醛治疗宫颈糜烂的疗效及对妊娠的影响。方法2005年1月-2008年1月在我院门诊确诊为宫颈糜烂患者600例,541例无生育要求,59例有生育要求,其中未生育者15例,欲生育二胎者44例。采用高频电波刀球形电极电熨术,术后辅以聚甲酚磺醛治疗,比较不同程度的宫颈糜烂治疗效果及术后妊娠情况。结果轻度糜烂治愈率100%,中度糜烂治愈率94.49%,重度糜烂治愈率82.46%,总有效率100%。轻度宫颈糜烂疗效明显高于中度、重度糜烂;糜烂面积越小,治愈率越高,差异有统计学意义（P〈0.05）。术后1年内共60例妊娠,其中1例无生育要求但避孕失败意外妊娠,2例为无排卵障碍,无输卵管阻塞,无男方不孕因素的原发不孕者。结论高频电波刀治疗宫颈糜烂简单、安全、有效,也适合未生育的患者。
Objective To explore the efficacy of cervical erosion treatment with LEEP combined with policresulen and its impact on pregnancy. Methods 600 out - patients were investigated who were diagnosed as cervical erosion in our hospital from January 2005 to January 2008. Among those investigated, 541 cases had no desire for reproduction. 59 showed strong desire for birthing, of which 15 had no history of reproduction and 44 wanted a second child. The high frequency radiosurgical knife spherical iron electrode technique was applied, coupled with postoperative policresulen treatment, and different degrees of cervical erosion treatment and postoperative pregnancy situation were compared. Results The cure rate for the mild erosion was 100%, 94.49% for the moderate erosion and 82.46% in terms of the severe erosion. The total effective rate was 100%. The curative effect for the mild cervical erosion was significantly higher than for the moderate and severe erosion. The smaller the erosion area was, the higher the cure rate. The difference had statistical significance （ P 〈 0.05 ）. One year after the operation, 60 cases were pregnant, of whom one was due to contraceptive failure, two suffered from primary infertility without ovulation obstacle, fallopian tube obstruction and male infertility factor. Conclusion The application of LEEP in the treatment of cervical erosion was easy, safe effective and also suitable for the patients of fertility.
出处
《淮海医药》
CAS
2009年第4期307-308,共2页
Journal of Huaihai Medicine
关键词
宫颈糜烂
高频电波刀
聚甲酚磺醛
Cervical erosion
High frequency radiosurgical knife
Policresulen
