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目的比较微波与激光治疗慢性宫颈炎的疗效。方法慢性宫颈炎妇女462例,随机分为微波组235例和激光组227例,分别采用微波组织凝固和CO2激光汽化两种物理方法进行治疗。结果两种疗法治疗单纯型宫颈糜烂痊愈率差异无显著意义(P﹥0.05);颗粒型和乳突型糜烂痊愈率微波组分别为96.2%和94.6%,激光组分别80.8%和77.7%,两组治疗结果比较,差异有非常显著意义(P<0.001)。术中出血的发生率,微波组2.98%(7/235)明显低于激光组22.47%(51/227),差异有非常显著意义(P<0.001)。两组不良反应包括,术后脱痂期出血、术中腹痛、术后阴道排液,两组差异无显著意义。结论微波组织凝固技术治疗颗粒型和乳突型宫颈糜烂一次冶愈率较CO2激光高,术中止血效果较CO2激光好,有临床实用价值。
Objective To compare the efficacy of microwave and laser in the treatment of chronic cervicitis. Methods 462 women with chronic cervicitis were randomly divided into microwave group (235 cases) and laser group (227 cases), and were treated by microwave coagulation and CO2 laser vaporization respectively. Results There was no significant difference between the two treatments in the cure rate of simple cervical erosion (P> 0.05). The cure rates of granulomatous and papillary erosion were 96.2% and 94.6% in the microwave group and 80.8% and 77.7% in the laser group, respectively The results of the treatment group were significantly different (P <0.001). The incidence of intraoperative bleeding, microwave group 2.98% (7/235) was significantly lower than the laser group 22.47% (51/227), the difference was significant (P <0.001). Two groups of adverse reactions, including postoperative eschar bleeding, intraoperative abdominal pain, postoperative vaginal discharge, no significant difference between the two groups. Conclusion Microwave coagulation technology for treatment of granulomatous and papillary type of cervical erosion primary cure rate higher than CO2 laser, intraoperative bleeding better than CO2 laser, clinical practical value.