两种方法治疗宫颈糜烂的疗效观察

两种方法治疗宫颈糜烂的疗效观察

石丽琼  杨  宇  姚小慧  (广州市第一人民医院妇产科  510180)

　　关键词  宫颈糜烂  超导光治疗  冷冻治疗

The effects of two different therapy for cervical erosion  SHI Liqiong,YANG Yu,et al.(Gynecology and Obstetrics Department,Guangzhou First Municipal People's Hospital,Guangzhou 510180，China)

　　Abstract　Objective　To compare the effects of two different therapy in treating cervical erosion.Methods  In G1,180 cases of cervical erosion were treated by superconductive light therapy.In G2,the other 180 cases of cervical erosion were treated by freezing therapy.The curative effects and side effects of G1 were compared with those of G2. Results  To Ⅲ degree cervical erosion,the curative effects of G1 were better than that of G2,there were significant di-fferences (P<0.01).To Ⅰ degree cervical erosion,both therapy were curative,there were no differences.Conclusion  We suggest to select superconductive light therapy to cure Ⅱ-Ⅲ cervical erosion.

　　Key words  Cervical erosion; Superconductive litht therapy;Freezing therapy

1  资料与方法

1.1 病例选择  患者360例均为门诊病人,随机分超导光组、冷冻组。年龄18～59岁，两组各180人，分期为轻、中、重度各60例。

1.2 诊断标准  宫颈糜烂分三度，诊断标准依据全国医学院校统编教材第五版《妇产科学》^［1］，以糜烂面积范围分轻度、中度、重度。治疗前患者均做宫颈刮片或阴道镜检查排除宫颈癌。

1.3 治疗方法  两组病人均于月经干净后2～7天，最好无性生活史，取膀胱截石位，外阴、阴道常规消毒，以窥阴器暴露宫颈，擦拭净宫颈口黏液，超导光组采用北京博源技术公司生产GP-3型超导光波宫颈糜烂治疗仪，将套有避孕套的探头直接接触糜烂面，稍加用力扣动开关，每次定时照射3～5秒钟，至宫颈糜烂面全部发白为止；冷冻组选用隔温式液氮冷冻治疗仪，将冷头紧贴宫颈后，打开制冷自动开关，使冷头温度速降，宫颈结冰至冷头周围出现隆起的冷霜，面积超出冷头1～2mm,历时2～3min。重度糜烂者复温后再次重复冷冻2min。两组病人术后禁止性交、游泳及坐浴2月，治疗后1个月复查，未愈者随访至治疗后2个月。

1.4 疗效评定标准  痊愈:宫颈糜烂面完全愈合，宫颈光滑，无自觉症状；有效:宫颈糜烂面积缩小1/3以上,自觉症状明显减轻；无效：治疗前后宫颈糜烂面及体征无变化。

1.5  统计学方法  两组比较采用χ²检验。

2  结果

2.1  两组阴道出血时间比较  见表1。由表1可见,超导光组阴道流血量与冷冻组比较无明显差异。

2.2  两组阴道排液量比较  见表2。由表2可见，超导光组治疗后阴道排液量明显少于冷冻组，两组比较有显著性意义。

2.3  两组创面愈合比较  见表3。由表3可见，轻度宫颈糜烂两种方法治疗效果基本相同，无明显差异；中、重度宫颈糜烂超导光组治愈率明显高于冷冻组，χ²=37.87，有非常显著性差异(P<0.01)。