论文部分内容阅读
目的:探讨波姆光配合激光与聚焦超声治疗不同分型宫颈柱状上皮异位中的疗效。方法:将在康健妇婴医院妇科门诊经妇科检查诊断的256例宫颈柱状上皮异位患者分为单纯型、颗粒型和乳头型三型,各型分别采用波姆光配合激光方法(A组)和聚焦超声方法(B组)治疗,比较两组治疗过程中的疗效及不良反应。结果:两种治疗方法对单纯型和颗粒型的疗效比较差异无统计学意义(P>0.05),A组治疗总有效率(92.0%)明显高于B组(81.1%)。A组术后阴道排液率(53.9%)明显低于B组(73.1%);A组术后出血率(24.3%)低于B组(53.1%)。结论:波姆光配合激光对乳头型宫颈柱状上皮异位疗效显著优于聚焦超声;聚焦超声对单纯型和颗粒型宫颈柱状上皮异位的疗效优于乳头型宫颈柱状上皮异位;波姆光配合激光治疗的手术时间短于聚焦超声,不良反应发生率也低于聚焦超声组。
OBJECTIVE: To investigate the therapeutic effect of Bomel light combined with laser and focused ultrasound in the treatment of different types of cervical columnar epithelial ectopic. Methods: A total of 256 cases of cervical columnar epithelial ectopic patients diagnosed by gynecological examination in gynecology and gynecology clinic of Kang-Fei Women and Children Hospital were divided into three types: simple type, granular type and papillary type. And focused ultrasound (B group) treatment, the treatment of two groups compared the efficacy and adverse reactions. Results: There was no significant difference in the curative effect between simple and granular type (P> 0.05). The total effective rate in group A (92.0%) was significantly higher than that in group B (81.1%). The rate of postoperative vaginal discharge (53.9%) in group A was significantly lower than that in group B (73.1%). The postoperative bleeding rate in group A (24.3%) was lower than that in group B (53.1%). CONCLUSION: The effect of POM laser with laser on papillary cervical columnar epithelium is better than that of focused ultrasound. Focused ultrasound is superior to papillary epithelium in papillary epithelium in simple and granular type. With laser treatment of shorter operative time than focused ultrasound, the incidence of adverse reactions is also lower than the focus ultrasound group.