出 处:《南昌大学学报(医学版)》2011年第12期50-53,共4页Journal of Nanchang University:Medical Sciences
摘 要:目的探讨聚焦超声治疗仪与波姆红外线治疗宫颈糜烂的临床疗效。方法将300例宫颈糜烂患者按不同的物理治疗方法分为聚焦超声治疗组(超声组)和红外线治疗组(红外线组),每组150例。超声组患者采用聚焦超声治疗仪治疗,红外线组患者采用波姆红外线治疗。观察2组患者阴道排液量(少、不用卫生巾)、阴道排液持续时间和阴道出血量、阴道出血持续时间、宫颈结痂修复及宫口通畅、阴道镜复查宫颈糜烂面愈合等情况。结果超声组治愈率和总有效率明显高于红外线组,差异有统计学意义(χ2=5.50,P<0.05;χ2=4.25,P<0.05)。治疗后腰酸、腹坠痛的症状改善率:红外线组为94.7%(142/150),超声组为99.3%(149/150),2组比较差异有统计学意义(χ2=4.12,P<0.05)。超声组阴道排液量少、一般不用卫生巾,阴道排液持续时间≤7d所占比例与红外线组比较差异有统计学意义(χ2=5.22,P<0.05;χ2=6.62,P<0.05),超声组阴道出血量少于月经量、阴道出血持续时间≤7d所占比例与红外线组比较差异有统计学意义(χ2=5.27,P<0.05;χ2=4.25,P<0.05)。超声组宫颈管狭窄发生率、复发率均明显低于红外线组,差异有统计学意义(χ2=7.33,P<0.01;χ2=9.82,P<0.01)。结论聚焦超声治疗仪治疗宫颈糜烂,其治愈率高,不良反应小,无宫颈管狭窄及瘢痕形成等并发症,尤其适用于未生育妇女的宫颈糜烂的治疗。Objective To explore the clinical curative effect of focused ultrasound therapeutic equipments and infra infrared of treatment of cervical erosion.Methods A total 300 cases in patients with cervical erosion according to different methods of physical therapy is divided into focused ultrasound treatment group(ultrasound group) and infrared treatment group(infrared group),150 cases in each group.Ultrasound group in patients with focused ultrasound therapeutic equipments treatment,infrared group in patients with infra infrared treatment.Observe 2 group in patients the amount of vaginal discharge(low,disuse sanitary napkins),continuous time of vaginal discharge and amount of vaginal bleeding,continuous time of vaginal bleeding,cervical scar repair and unobstructed of the cervical oral,vaginoscope reexamination the healing of cervical erosion face.Results Ultrasound group cure rate and a total effective rate was significantly higher than infrared group,the difference was statistically significant(χ2=5.50,P0.05;χ2=4.25,P0.05).Acid treatment after of lumbar,abdominal pain,symptom improvement rates fall:infrared group was 94.7%(142/150),ultrasound group was 99.3%(149/150),difference between the two groups was statistically significant(χ2=4.12,P0.05).Ultrasound group amount less vaginal discharge,generally disuse sanitary napkins,vaginal discharge duration time ≤7 days the proportion of infrared group compared with the proportion of the difference was statistically significant(χ2=5.22,P0.05;χ2=6.62,P0.05).ultrasound group less than menstrual flow of vaginal bleeding amount,the vaginal bleeding duration of ≤7 days the proportion of infrared group compared with the proportion of the difference was statistically significant(χ2 =5.27,P0.05;χ2=4.25,P0.05).Ultrasound group the incidence rates of cervical canal stenosis stricture,recurrence rates were significantly lower than the IR group,the difference was statistically significant(χ2=7.33,P0.01;χ2=9.82,P0.01).Conclusion Foc
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