Ho:YAG激光治疗宫颈疾病的疗效观察  

Treatment of Cervical Diseases with Ho:YAG Laser

作　　者：包晓青[1] 朱菁[1] 袁霞雯[1] 施虹敏[1] 张美珏[1] 周琳[1] 

机构地区：[1]上海交通大学医学院附属仁济医院上海市激光医学研究中心,上海200001

出　　处：《应用激光》2006年第1期65-68,34,共5页Applied Laser

摘　　要：目的:本文介绍运用Ho:YAG激光治疗宫颈糜烂、宫颈息肉及宫颈尖锐湿疣的方法及疗效观察。方法:运用Ho:YAG激光治疗宫颈糜烂743例,其中轻度429例,中度263例,重度51例;宫颈息肉21例,采用峰值能量0.8-1.0J,频率10-12Hz;宫颈湿疣97例(包括妊娠合并宫颈湿疣23例),采用峰值能量0.5-0.8J,频率5-15Hz。结果:429例轻度宫颈糜烂及21例宫颈息肉均达到一次治疗后痊愈,一次治愈率为100%;263例中度宫颈糜烂中251例经一次治疗后痊愈,其余病例两次治疗后痊愈,一次治愈率为95.4%,两次治愈率为100%;51例重度宫颈糜烂中43例经一次治疗后痊愈,6例两次治疗后痊愈,2例两次治疗后基本痊愈,一次治愈率为84.3%,两次治愈率为96.1%。97例宫颈湿疣中64例经一次治疗后未复发,其余均有复发,妊娠合并宫颈湿疣者复发频率高,但均未出现大量出血、流产、早产等并发症。结论:运用Ho:YAG激光治疗上述宫颈疾病,治疗效果好、患者痛苦小,是一种操作简便、患者乐于接受的好方法。值得临床推广。Objective： To observe and study the technique in treatment of some cervical diseases（cervical erosion,cervical polyp and cervical condyloma） with Ho：YAG laser and evaluate the effective rate. Methods： 743 patients suffered cervical erosion and 21 patients suffered cervical polyp were treated with Ho： YAG laser （pulse energy：0.8-1.0J ,frequency： 10-12Hz）. 97 patients suffered cervical condyloma（23 among them with pregnancy）were treated with Ho：YAG laser （pulse energy：0.5- 0.8J, frequency：5-15 Hz）. Results： The effective rate was 100 % after one treatment in all the patients suffered mild cervical erosion and cervical polyp. The effective rate was 95.4% after one treatment in all the patients suffered moderate cervical erosion and it reached to 100% after two treatments. The effective rate was 84. 3 % after one treatment in all the patients suffered severe cervical erosion and it reached to 96. 1% after two treatments. High recurrence rate occurred in patients suffered cervical condyloma especially in those with pregnancy, but no abortion occurred. Conclusions： The technique in treatment of cervical diseases with Ho： YAG laser is effective,safe and easy to operate.

关 键 词：HO:YAG激光 宫颈疾病 

分 类 号：TN244[电子电信—物理电子学] S854.5[农业科学—临床兽医学]