冷冻治疗宫颈糜烂524例疗效追随观察  

Follow-up Observation on the Effects of Cryotherapy in 524 Cases of Cervical Erosion

作　　者：聂萍萍[1] 杨伯品[1] 李宁[1] 

机构地区：[1]江西医学院第一附属医院理疗科

出　　处：《江西医学院学报》1990年第1期17-20,共4页Acta Academiae Medicinae Jiangxi

摘　　要：报告液氮冷冻治疗宫颈糜烂524例疗效追随观察。其中,轻度糜烂98例,中度糜烂210例,重度糜烂216例。本疗法在月经干净后3～10天进行。白带有霉菌及滴虫感染或白血球在(+++)以上者,应先治愈或白血球控制在(++)以下后方可治疗。采用接触法,2～3min,两个冻融周期,自然复温解冻。均经冷冻治疗后6月至5年复查结果:痊愈359例(68.51％),显效102例(19.47％),好转37例(7.06％),无效26例(4.96％)。有效率为95.04％。复发64例(12.21％),多为息肉及奈氏囊肿。远期疗效(5年)与近期疗效(6月)进行比较,前者高于后者(p<0.01)。并对冷冻治疗反应等进行了讨论。Cryotherapy was applied on five hundred and twenty four patients 3～10 days after menstrua- tion. The petients' leucorrhea caused by fungus and trichomonas infection should be cured,and WBC (+++)in the leucorrhea should be controlled to(++). With touching method, cryotherapy was applied for 2～3 minutes and for 2 thawing periods. After therapy, the temperature recovered naturally. Of these cervical erosions, 98 were of mild degree, 210 moderate, and 216 severe. All cases were reexamined from 6 months to 5 years post-cryotherapy. The results showed: cured 359 (68. 51%), with remarkable effect 102(91.47%),alleviated 37(19.47%) and no effect 26(4.96%). The total effective rate was 95.04%. Follow-up observation showed 64 cases (12.21%) recurred, of which most had cervical polype and Nabothian cysts. Long-term efficacy (for 5 years) was higher than short- term efficacy(P<0.01). Side effects of cryotherapy were discussed.

关 键 词：子宫颈糜烂 冷外科 病例报告 

分 类 号：R711.320.5[医药卫生—妇产科学]