聚焦超声和LEEP刀治疗宫颈柱状上皮异位的疗效对比  

Effect of LEEP and Focused ultrasourd in the treatment of cervical columnar ectopy

作　　者：胡红珍 刘萍 罗永红[2] 项良春[2] 

机构地区：[1]深圳市福田区妇幼保健院妇产科 [2]皖南医学院弋矶山医院妇产科

出　　处：《中国临床药理学与治疗学》2013年第5期561-564,共4页Chinese Journal of Clinical Pharmacology and Therapeutics

摘　　要：目的:探讨聚焦超声和高频电波刀宫颈环形电切术(LEEP)治疗宫颈柱状上皮异位的疗效和并发症。方法:将410例宫颈柱状上皮异位患者分为A、B两组,其中A组(210例)进行聚焦超声治疗,B组(200例)行LEEP术,观察两组手术时间、术中术后出血量、术后排液情况,比较两组疗效,并进行统计学分析。结果:A组手术时间大于B组,差异有统计学意义(P<0.01);A组术中出血及术后出血量均小于B组,差异有统计学意义(P<0.01);两组术后排液情况,差异无统计学意义(P>0.05);两组轻中度患者治愈率比较,差异无统计学意义(P>0.05);重度患者B组疗效优于A组,差异有统计学意义(P<0.05)。结论:聚焦超声和LEEP术都是治疗宫颈柱状上皮异位的有效方法,应根据患者的实际情况结合两种方法的优缺点进行选择。AIM： To evaluate the curative effect and complication of loop electrosurgical excision procedure（LEEP） and Focused ultrasound in the treatment of cervical columnar ectopy.METHODS： From April 2009 to April 2012,In the diagnosed cervical columnar ectopy patients treating with LEEP and Focused ultrasound were randomly selected into Focused ultrasound group（group A） and LEEP group（group B）,the effect and complication of two groups were analyzed.RESULTS：The operation time in group B was shorter than that in group A（P〈0.01）.Intraoperative and after operative blood loss in group B was greater than that in group A（P〈0.01）;Effect of mild and moderate cervical columnar ectopy between the two groups had no significant differences（P〈0.05）;In severe cervical columnar ectopy,group B had obvious superiority（P〈0.05）.CONCLUSION： Focused ultrasound and LEEP are effective methods in treating cervical columnar ectopy,should be based on the actual situation of patients with advantages and disadvantages of two methods to choose.

关 键 词：聚焦超声 LEEP 宫颈柱状上皮异位 

分 类 号：R711[医药卫生—妇产科学]