超高频电波刀治疗重度宫颈糜烂对患者宫颈微循环及妊娠结局的影响  

Effects of ultra-high frequency electric knife for treating women with severe cervical erosion on their cervical microcirculation and their later pregnancy outcomes

作　　者：许结枝 张丽丽 赵珺頔 XU Jiezhi;ZHANG Lili;ZHAO Jundi(Hospital of PLA Joint Service Support,Hefei,Anhui Province,230031)

机构地区：[1]中国人民解放军联勤保障部队第九〇一医院,合肥230031

出　　处：《中国计划生育学杂志》2022年第3期686-690,共5页Chinese Journal of Family Planning

基　　金：安徽省自然科学基金委员会(1608086MH1227)。

摘　　要：目的:探究超高频电波刀治疗重度宫颈糜烂对患者宫颈微循环及妊娠结局的影响。方法:回顾性收集2016年1月-2018年1月本院收治的重度宫颈糜烂患者90例,根据治疗方式的不同分为超高频电波刀(电波刀组)或微波治疗(微波组)各45例。观察两组手术有效率、术后宫颈微循环指标差异,对电波刀组随访6~24个月与同期健康分娩孕妇对比妊娠结局相关指标。结果:两组手术有效率电波刀组(95.6%)高于对照组(86.7%)(P<0.05);术后3周,两组血流灌注、微血管管径、毛细血管管径均高于治疗前且电波刀组高于微波组,电波刀组宫颈颜色、水肿程度改善(暗红、青紫、轻度水肿、中度水肿、重度水肿情况更少)优于微波组(均P<0.05),电波刀组术后妊娠分娩产妇在年龄、体质指数、分娩孕周、骨盆出口横径、分娩结局、剖宫产原因等与同期健康分娩产妇无明显差异(P>0.05)。结论:超高频电波刀治疗重度宫颈糜烂安全有效,利于改善患者宫颈微循环且不影响妊娠结局。Objective:To explore the effects of ultra-high frequency(uHF)electrosurgical knife for treating women with severe cervical erosion on their cervical microcirculation and pregnancy outcomes.Methods:90 women with severe cervical erosion from January 2016 to January 2018 were selected retrospectively.According to different treatment methods,these women were divided into study group(45 women treated by ultra-high frequency electric knife)and control group(45 women treated by microwave).The operative efficiency and the difference of postoperative cervical microcirculation indexes of the women in the two groups were observed.The women in the study group were followed up for 6-24 months,and which indicators related to pregnancy outcomes were compared with those of healthy pregnant women.Results:The efficiency of the women in the two groups had increased with the prolongation of postoperative time,and which(95.6%)of the women in the study group was significantly higher than that(86.7%)of the women in the control group(P<0.05).In the 3 rs week after surgery,the blood perfusion,the microvascular diameter,and the capillary diameter of the women in both groups were significantly higher than those before surgery,and which of the women in the study group was significantly higher than those of the women in the control group.The improvements of cervical color(dark red,blue,and purple),and edema degree(mild edema,moderate edema,and severe edema)of the women in the study group were significantly better than those of the women in the control group(all P<0.05).There were no significant differences in age,body mass index,gestational weeks when delivery,pelvic outlet diameter,delivery outcomes,and cesarean section between the women in the study group and the women with healthy pregnancy(P>0.05).Conclusion:uHF electrosurgical knife for treating women with severe cervical erosion is safe and effective,which is conducive to improving cervical microcirculation of these women without affecting their later pregnancy outcomes.

关 键 词：重度宫颈糜烂 超高频电波刀 临床疗效 宫颈微循环 妊娠结局 

分 类 号：R711.32[医药卫生—妇产科学]