聚焦超声治疗慢性宫颈炎的临床观察  

Clinical observation of focused ultrasound therapy in the treatment of chronic cervicitis

作　　者：李蕾[1] 

机构地区：[1]山东省烟台市莱阳中心医院,265200

出　　处：《中国实用医刊》2012年第17期46-49,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨聚焦超声治疗慢性宫颈炎的有效性及不良反应。方法2007年5月至2009年10月烟台市莱阳中心医院门诊经宫颈细胞学及阴道镜检查诊断为慢性宫颈炎者共288例，随机选择148倒进行聚焦超声治疗，140例进行微波治疗。所有患者治疗后3个月内定期随访，进行疗效判定，并比较两种方法的不良反应及并发症的发生情况，进行统计学分析。结果聚焦超声组治愈97例（65．54％），显效43例（29．05％），有效8例（5．41％），无效0例，总有效率达100％，治愈率与糜烂程度及糜烂类型有关（P〈0．05）；微波组治愈101例（72．14％），显效34例（24．29％），有效5例（3．57％），无效0例，总有效率达100％，治愈率与糜烂程度及类型有关（P〈0．05）。两组间治愈率比较差异无统计学意义（P〉0．05）。两组治疗后阴道排液、阴道流血、结痂、瘢痕形成等不良反应及并发症相比，差异有统计学意义（P〈0．05）。结论聚焦超声治疗慢性宫颈炎临床疗效确切，不良反应相对较少，尤其更适用于未生育妇女，是一种有推广价值的有效、安全、微创、环保的治疗方法。Objective To investigate the clinical effect and side effects of focused ultrasound therapy in the treatment of chronic cervieitis. Methods From May 2007 to October 2009, a total of 288 patients with chronic cervicitis diagnosed by papsmear and colposcopy examination were choosen. Among them, 148 patients were treated with focused ultrasound and 140 patients with microwave. All patients were followed up for 3 months after treatment, the efficacy, adverse reactions and complications of the two methods were compared and analyzed statistically. Results In the focused ultrasound group, 97 cases （65.54%） had cured, 43 cases （29.05%） had obvious （5.41%） had improvement, improvement, and 8 cases the effective rate was 100%. The cure rate was related with the degree and type of cervical erosion （P 〈 0. 05）. In the microwave group, 101 cases（72. 14% ） had cured, 34 cases （24. 29% ）had obvious improvement, and 5 cases（3.57% ）had improvement, the effective rate was 100%. The cure rate was related with the de- gree and type of cervical erosion （P 〈 0.05 ）. There was no significant difference in the clinical effect between the two groups （P 〉 0. 05 ）, but there were significant differences in complications and the side effects such as vaginal discharge and hemorrhage between the two groups （P 〈 0. 05 ）. Conclusions Chronic cervicitis can be treated by focused ultrasound therapy effectively and safely with rare complica- tions, especially more suitable for non-pregnant women. Focused ultrasound is efficient, safe, minimally invasive and environmental protected methods, and can be popularized.

关 键 词：聚焦超声 慢性宫颈炎 治疗 

分 类 号：R711[医药卫生—妇产科学]