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目的:观察聚焦超声治疗慢性宫颈炎的临床疗效。方法:回顾性分析湖北省妇幼保健院慢性宫颈炎患者500例,将其分为聚焦超声治疗组300例,微波治疗对照组200例,观察其临床症状、体征、疗效及不良反应。结果:聚焦超声法治疗慢性宫颈炎的有效率为98.3%,微波治疗组为93.0%,两组疗效差异有统计学意义(P<0.05);超声治疗组治疗后只有一过性宫颈水肿,阴道排液量少,仅有少数患者有阴道流血,无瘢痕形成。微波治疗组均有不同程度阴道排液及出血,结痂是常见并发症,有瘢痕形成。术后阴道流黄色或血性分泌物、结痂等不良反应,两组差异有统计学意义(P<0.05)。聚焦超声组术后宫颈口狭窄、宫颈内膜增生等并发症明显低于微波治疗组(P<0.01)。超声治疗组创面愈合时间为4~9周,微波治疗组需6~10周,两组差异无统计学意义(P>0.05)。结论:聚焦超声治疗慢性宫颈炎疗效确切,不良反应及并发症少,是目前治疗宫颈炎的一种有效方法。
Objective: To observe the clinical effect of focused ultrasound in the treatment of chronic cervicitis. Methods: 500 cases of chronic cervicitis in Hubei MCH hospital were retrospectively analyzed. The patients were divided into three groups: focused ultrasound group (300 cases) and microwave group (200 cases). The clinical symptoms, signs, curative effects and adverse reactions were observed. Results: The effective rate of focused ultrasound treatment of chronic cervicitis was 98.3%, microwave treatment group was 93.0%, the difference between the two groups was statistically significant (P <0.05); ultrasound treatment group only after a transient cervix edema, vaginal Discharge volume less, only a few patients have vaginal bleeding, no scar formation. Microwave treatment group has varying degrees of vaginal discharge and bleeding, scab is a common complication, scar formation. Postoperative vaginal fluid yellow or bloody discharge, crusting and other adverse reactions, the difference between the two groups was statistically significant (P <0.05). The complications such as cervical stenosis and endometrial hyperplasia in the focused ultrasound group were significantly lower than those in the microwave treatment group (P <0.01). The wound healing time was 4 to 9 weeks in the ultrasound group and 6 to 10 weeks in the microwave group. There was no significant difference between the two groups (P> 0.05). Conclusion: Focused ultrasound in the treatment of chronic cervicitis is effective and has fewer side effects and complications. It is an effective method for the treatment of cervicitis.