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目的探讨LEEP刀联合高效单体银妇用抗菌凝胶治疗中重度慢性宫颈炎的临床效果。方法选择惠州市中心人民医院2014年3月-2017年7月收治的78例中重度慢性宫颈炎患者为研究对象,以随机数字表法分为观察组和对照组各39例,所有患者均接受LEEP切除术,对照组术后不使用药物,观察组术后应用高效单体银妇用抗菌凝胶,对两组患者治疗效果与术后并发症、复发情况等进行观察。结果两组患者治疗总有效率均为100.00%。观察组治愈率为97.44%高于对照组的79.49%,两组差异有统计学意义(P<0.05);观察组术后并发症发生率为5.13%低于对照组的23.08%,两组差异有统计学意义(P<0.05);观察组1年后复发率为2.56%低于对照组的12.82%,两组差异有统计学意义(P<0.05)。结论中重度宫颈炎采取LEEP刀联合高效单体银妇用抗菌凝胶治疗效果满意,可提高治愈率,也能缩短创面愈合时间,降低并发症发生率,值得临床推广应用。
Objective To investigate the clinical effect of LEEP knife combined with highly effective monomer silver antimicrobial gel for the treatment of moderate-severe chronic cervicitis. Methods A total of 78 patients with moderate-to-severe chronic cervicitis admitted from March 2014 to July 2017 in Huizhou Central People’s Hospital were enrolled and divided into observation group (39 cases) and control group (39 cases) by random number table. All patients received LEEP resection, the control group did not use drugs after surgery, the observation group after the application of highly effective monomer silver women with antibacterial gel, the treatment of two groups of patients with postoperative complications and recurrence were observed. Results The total effective rate of both groups was 100.00%. The cure rate of the observation group was 97.44%, which was higher than that of the control group (79.49%), the difference was statistically significant (P <0.05). The incidence of postoperative complications was 5.13% in the observation group and 23.08% in the control group (P <0.05). The recurrence rate in observation group after one year was 2.56%, which was lower than that in control group (12.82%). There was significant difference between the two groups (P <0.05). Conclusions The moderate and severe cervicitis with LEEP knife combined with highly effective monomer silver antimicrobial gel treatment results are satisfactory, can improve the cure rate, but also can shorten the wound healing time and reduce the incidence of complications, worthy of clinical application.