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目的:观察中西医结合药物治疗联合手术治疗宫颈糜烂的临床疗效。方法:将90例宫颈糜烂随机分为观察组和对照组,对照组采取子宫颈电环切术治疗,观察组联合中西医结合药物治疗,观察两组临床治疗情况。结果:观察组治愈21例,显效16例,有效6例,无效2例;对照组治愈13例,显效13例,有效10例,无效9例,组间对比差异有统计学意义(P<0.05)。观察组阴道排液时间(7.03±1.13)天,阴道出血时间(5.16±1.07)天,创面愈合时间(4.28±0.87)天,住院时间(9.28±1.37)天;对照组阴道排液时间(10.75±1.72)天,阴道出血时间(9.87±1.66)天,创面愈合时间(6.64±1.44)天,住院时间(15.96±1.89)天,组间对比差异有统计学意义(P<0.05)。观察组糜烂面积积分(0.81±0.28),阴道清洁度积分(0.76±0.21),临床症状积分(0.59±0.13);对照组糜烂面积积分(1.44±0.65),阴道清洁度积分(1.65±0.58),临床症状积分(1.01±0.43),组间对比差异有统计学意义(P<0.05)。结论:采用中西医结合药物联合子宫颈电环切术治疗宫颈糜烂疗效可靠,缩短患者阴道排液、出血时间,加快宫颈创面愈合时间,值得在临床推广使用。
Objective: To observe the clinical efficacy of combined traditional Chinese and western medicine in the treatment of cervical erosion. Methods: 90 cases of cervical erosion were randomly divided into observation group and control group. The control group was treated by cervical electrosurgical excision. The observation group was treated with combination of TCM and Western medicine. The clinical treatment of the two groups was observed. Results: In the observation group, 21 cases were cured, 16 cases were markedly effective, 6 cases were effective and 2 cases were ineffective. In the control group, 13 cases were cured, 13 cases were markedly effective, 10 cases were effective and 9 cases were ineffective. There was significant difference between the two groups (P <0.05 ). Vaginal drainage time (7.03 ± 1.13) days, vaginal bleeding time (5.16 ± 1.07) days, wound healing time (4.28 ± 0.87) days, hospitalization time (9.28 ± 1.37) days in the observation group and vaginal drainage time ± 1.72 days, vaginal bleeding time 9.87 ± 1.66 days, wound healing time 6.64 ± 1.44 days and hospitalization time 15.96 ± 1.89 days. The difference between the two groups was statistically significant (P <0.05). The scores of erosion area (0.81 ± 0.28), vaginal cleanliness (0.76 ± 0.21) and clinical symptoms (0.59 ± 0.13) in the observation group were significantly higher than those in the control group (1.44 ± 0.65, 1.65 ± 0.58) , Clinical symptom score (1.01 ± 0.43), the difference between the groups was statistically significant (P <0.05). Conclusion: The combination of traditional Chinese and Western medicine combined with cervical electrosurgical treatment of cervical erosion reliable curative effect, shorten the vaginal discharge in patients with bleeding time and speed up the wound healing time of the cervix, it is worth promoting in clinical use.