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目的比较Leep刀与微波治疗慢性宫颈炎临床疗效及安全性。方法选取我院2010年1月至2012年2月收治慢性宫颈炎患者180例,随机分为两组,其中对照组90例,采用微波治疗;实验组90例,采用Leep刀治疗;治疗结束后比较两组患者轻、中、重度宫颈糜烂临床治愈率,手术时间,术中出血量,阴道排液时间,术后出血发生率以及不良反应发生情况。结果对照组患者轻度、中度及重度宫颈糜烂临床治愈率为100.0%,65.9%,65.0%;实验组患者轻度、中度及重度宫颈糜烂临床治愈率为100.0%,93.5%,89.5%;对照组与实验组患者轻度宫颈糜烂治愈率组间比较差异无统计学意义(P>0.05);实验组患者中度、重度宫颈糜烂治愈率明显高于对照组患者,组间比较差异有统计学意义(P<0.05);实验组患者手术时间,术中出血量及阴道排液时间均明显优于对照组,组间比较差异有统计学意义(P<0.05);对照组与实验组患者术后出血发生率组间比较差异无统计学意义(P>0.05)。结论与微波治疗相比,leep刀治疗慢性宫颈炎特别是中、重度宫颈糜烂临床效果显著,具有手术时间短、创伤小,术后恢复快及术后出血发生率低等优点,可作为临床首选治疗方法。
Objective To compare the clinical efficacy and safety of Leep knife and microwave in the treatment of chronic cervicitis. Methods 180 cases of chronic cervicitis admitted to our hospital from January 2010 to February 2012 were randomly divided into two groups, of which 90 cases in the control group were treated with microwave; 90 cases in the experimental group were treated with Leep knife; after treatment The clinical cure rate, operation time, intraoperative blood loss, vaginal discharge time, incidence of postoperative bleeding and adverse reactions were compared between two groups of patients with mild, moderate and severe cervical erosion. Results The clinical cure rates of mild, moderate and severe cervical erosion in the control group were 100.0%, 65.9% and 65.0%, respectively. The clinical cure rates of mild, moderate and severe cervical erosion in the experimental group were 100.0%, 93.5% and 89.5% ; There was no significant difference between the control group and the experimental group in the cure rate of mild cervical erosion (P> 0.05); the cure rate of moderate and severe cervical erosion in the experimental group was significantly higher than that of the control group (P <0.05). The operation time, intraoperative blood loss and vaginal discharge time in the experimental group were significantly better than those in the control group, the difference was statistically significant (P <0.05) between the control group and the experimental group The incidence of postoperative bleeding in patients was no significant difference between groups (P> 0.05). Conclusion Compared with microwave treatment, leep knife treatment of chronic cervicitis, especially moderate and severe cervical erosion clinical effect is significant, with shorter operation time, less trauma, postoperative recovery and the incidence of postoperative bleeding is low, etc., can be used as clinical choice treatment method.