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目的比较脉冲Nd:YAG激光多点布阵术与CO2激光治疗宫颈糜烂的疗效。方法宫颈糜烂患者409例随机分为两组,脉冲Nd:YAG激光多点布阵术治疗208例,CO2激光治疗201例。观察术中创面渗血及不适感。术后随访3个月评价疗效。结果脉冲Nd:YAG激光多点布阵术和CO2激光治疗宫颈糜烂的总有效率分别为98.6%和98.5%,差异无显著性意义(P>0.05);创面渗血脉冲Nd:YAG激光多点布阵术组2例(1.0%),CO2激光组36例(17.9%),差异有显著性意义(P<0.01);治疗过程中出现小腹不适脉冲Nd:YAG激光多点布阵术组33例(15.9%),CO2激光组7例(3.5%),差异有显著性意义(P≤0.01)。结论两种方法治疗宫颈糜烂的效果相近,脉冲Nd:YAG激光多点布阵术的止血作用优于CO2激光,但治疗过程中部分患者有不适感。
Objective To compare the curative effect of pulsed Nd: YAG laser multi-point array with CO2 laser in the treatment of cervical erosion. Methods 409 patients with cervical erosion were randomly divided into two groups: 208 cases were treated by pulsed Nd: YAG laser and 201 cases were treated by CO2 laser. Observe intraoperative bleeding and discomfort. Follow-up 3 months after surgery to evaluate the efficacy. Results The total effective rate of pulsed Nd: YAG laser and CO2 laser treatment of cervical erosion were 98.6% and 98.5%, respectively, with no significant difference (P> 0.05) There were 2 cases (1.0%) in the array operation group and 36 cases (17.9%) in the CO2 laser group, the difference was significant (P <0.01); Nd: YAG laser multiple point array group Cases (15.9%), CO2 laser group 7 cases (3.5%), the difference was significant (P≤0.01). Conclusion The two methods are similar to cervical erosion. The hemostatic effect of pulsed Nd: YAG laser is better than that of CO2 laser. However, some patients have discomfort during the treatment.