黏液脓性宫颈炎对电凝治疗后出血及感染的影响  

Effect of Mucopurulent Cervicitis on the Postoperative Bleeding and Infection after Electrocoagulation

作　　者：冯苗 李素春 李蕾蕾 李倩 潘萍 吴穗妹 

机构地区：[1]广东省计划生育专科医院妇科,广州510600

出　　处：《生殖与避孕》2014年第11期950-954,共5页Reproduction and Contraception

摘　　要：目的:探讨黏液脓性宫颈炎(mucopurulent cervicitis,MPC)未愈患者行电凝治疗对术后出血及感染的影响。方法:回顾性分析因宫颈柱状上皮异位合并人乳头瘤病毒(HPV)感染自愿接受宫颈电凝治疗的384例患者的临床资料。其中,153例患者电凝治疗前无MPC(无MPC组),121例患者曾有MPC且电凝治疗前MPC已治愈(MPC治愈组),110例患者电凝治疗前MPC漏治(MPC漏治组)。比较3组进行宫颈电凝治疗的并发症。结果:1 MPC漏治组电凝治疗术中出血、术后出血、术后感染率分别为26.4%(29/110)、92.7%(102/110)、71.8%(79/110),较无MPC组的3.3%(5/153)、10.5%(16/153)、11.7%(18/153)及MPC治愈组的4.1%(5/121)、9.1%(11/121)、14.0%(17/121)均明显增加(P<0.05)。而无MPC组及MPC治愈组之间各指标的差异均无统计学意义(P>0.05)。2 MPC漏治组电凝治疗术后HPV转阴率、异位柱状上皮鳞化有效率分别为28.1%(31/110)、55.5%(61/110),较无MPC组的73.9%(113/153)、100.0%(153/153)及MPC治愈组的79.3%(96/121)、100.0%(121/121)均明显降低(P<0.05)。结论:MPC漏治容易造成电凝治疗后脱痂期出血及术后感染,降低HPV转阴率及柱状上皮异位痊愈率。Objective： To explore the impact of mucopurulent cervicitis （MPC） on the postoperative bleeding and infection after electrocoagulation. Methods： Clinical characteristics of 384 cases with cervical electrocoagulation were retrospectively analyzed. Before electrocoagulation, 153 cases were without MPC, and 121 cases had cured MPC, and 110 cases had leakage treatment of mucopurulent MPC. Cervical bleeding and infection after fulguration treatment were compared among these three groups. Results： 1） The prevalence of intraoperative bleeding, postoperative bleeding and postoperative infection were 26.4% （29/110）, 92.7% （102/ 110）, 71.8% （79/110）, respectively in the group of leakage treatment of MPC, not only significantly more than those in the group without MPC, which were 3.3% （5/153）, 10.5% （16/153）, 11.7% （18/153）, respectively, but also more than those in the group of cured MPC, which were 4.1% （5/121）, 9.1% （11/121）, 14.0% （17/121）, respectively. 2） The negative conversion rate of HPV and the cure rate of cervical columnar ectopy were 28.1% （31/110）, 55.5% （61/110）, respectively in the group of leakage treatment of MPC, not only significantly less than those in the group without MPC, which were 73.9% （113/153）, 100.0% （153/153）, respectively, but also less than those in the group of cured MPC, which were 79.3 % （96/121 ）, 100.0% （121 / 121 ）, respectively. Conclusion： Leakage diagnosis and treatment of MPC would lead to postoperative bleeding and infection during decrustation, reduce the effect on clearance of HPV infection and the cure rate of cervical columnar ectopy. Clinical doctors should pay attention to reduce leakage diagnosis and treatment of MPC.

关 键 词：黏液脓性宫颈炎(MPC) 电凝治疗 脱痂期出血 

分 类 号：R711.32[医药卫生—妇产科学]