激光术联合聚甲酚磺醛溶液治疗中重度宫颈糜烂疗效观察

郑慧频

[摘要] 目的 探讨激光术联合应用聚甲酚磺醛溶液治疗中重度宫颈糜烂的临床疗效。 方法 选取中重度宫颈糜烂患者100例，随机分为两组：激光联合聚甲酚磺醛溶液组（治疗组）50例，激光组（对照组）50例，观察两组的治疗效果与不良反应。 结果 治疗组的宫颈创面愈合情况以及术后阴道流液、流血、感染等不良反应方面明显优于对照组，两组差异有统计学意义（P ＜ 0.05）。 结论 激光术联合应用聚甲酚磺醛溶液治疗中重度宫颈糜烂治愈率高，疗效显著，并能有效控制术后不良反应，值得临床推广。

[关键词] 宫颈糜烂；聚甲酚磺醛溶液；宫颈激光术；疗效

[中图分类号] R711.74[文献标识码] A[文章编号] 1674-4721（2012）07（c）-0069-02

The effects observation of laser surgery combined with policresulen solution in treatment of moderate and severe cervical erosion

ZHENGHuipin

Department of Obstetrics and Gynecology, Maternal and Child Health Hospital of Sihui City in Guangdong Province, Sihui 526200, China

[Abstract] Objective To explore the effects of laser surgery combined with policresulen solution in treatment of moderate and severe cervical erosion.Methods One hundred cases of moderate and severe cervical erosion were randomly divided into two groups: laser surgery combined with policresulen solution (treatment group) with 50 cases, and the laser group (control group) with 50 cases, The therapeutic effects and adverse reactions in two groups were observed.Results The adverse reactions of the cervical wound healing, postoperative vaginal fluid, bleeding and infection in the treatment group were better than those in the control group. The differences were statistically significant (P < 0.05). Conclusion The cure rate of laser surgery combined with policresulen solution in treatment of moderate and severe cervical erosion is high, with a significant effect. It can also effectively control postoperative adverse reactions, so it is worthy of being popularized.

[Key words] Cervical erosion; Policresulen solution; Cervical laser surgery; Effects

宮颈糜烂是慢性宫颈炎最常见的一种病理改变，是已婚、育龄妇女的常见病、多发病，也是宫颈癌发病的高危因素之一。目前治疗宫颈糜烂的方法有很多，药物治疗仅适合糜烂面积较小和炎症浸润较表浅的患者[1]。对于中重度宫颈糜烂，物理治疗仍是最常用的有效治疗方法。但术后不良反应也相应出现，如阴道排液、异味、阴道出血，甚至合并感染、宫颈粘连等。本院采用宫颈激光术联合应用聚甲酚磺醛溶液能提高治愈率，缩短治愈时间，有效避免其并发症的发生，降低复发率。现将近一年多来开展激光术联合应用聚甲酚磺醛溶液治疗中重度宫颈糜烂的临床效果观察情况报道如下：

1 资料与方法

1.1 一般资料

2010年6月～2012年2月，本院门诊检查初步诊断为宫颈中重度糜烂患者100例，年龄22～55岁，均为非孕期、哺乳期、已生育妇女。……