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目的探讨宫腔镜治疗宫颈糜烂的价值。方法将２１４例宫颈糜烂的患者随机分为宫腔镜手术治疗组和ＣＯ２激光治疗组分别采用宫腔镜直视下电切加局部电凝和ＣＯ２激光汽化进行治疗。结果宫腔镜手术治疗组治疗宫颈糜烂一次治愈率为９４．４６％（１０２／１０８），而ＣＯ２激光治疗组一次治愈率为７１．２０％（７６／１０６），有非常显著性差异（Ｐ＜０．００１）；宫腔镜手术组术中出血明显少于ＣＯ２激光组，有显著性差异（Ｐ＜０．０１）；两组治疗后的不良反应无明显差异（Ｐ＞０．０５）。结论宫腔镜治疗子宫颈糜烂一次治愈率高，术中出血少，有临床应用价值。
Objective To investigate the value of hysteroscopy in treating cervical erosion. Methods 214 cases of cervical erosion were randomly divided into hysteroscopic surgery group and CO2 laser treatment group were treated with electrocautery under hysteroscopic direct electrocoagulation plus CO2 laser vaporization. Results The cure rate of cervical erosion in hysteroscopic surgery group was 94.46% (102/108), while that in CO2 laser treatment group was 71.20% (76/106), with significant difference (P <0.001). There was a significant difference (P <0.01) in the intraoperative bleeding in hysteroscopic surgery group compared with CO2 laser group. There was no significant difference in the adverse reaction between the two groups (P> 0.05) . Conclusion Hysteroscopic treatment of cervical erosion, a high cure rate, less bleeding, the clinical value.