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目的观察高能聚焦超声治疗仪对宫颈柱状上皮异位的临床疗效。方法选择2007年1月-2008年12月在该院就诊的167例宫颈柱状上皮异位患者作为研究对象,所有患者使用高能聚焦超声治疗仪进行治疗,观察患者治疗后3个月的临床疗效,同时对轻度、中度、重度糜烂的临床疗效及单纯型、颗粒型和乳头型糜烂的临床疗效进行比较。结果 167例患者痊愈88例,总痊愈率为52.69%,总有效率为95.81%。轻、中度糜烂的总有效率明显高于重度糜烂(P<0.05),但轻度与中度糜烂治疗总有效率比较差异无统计学意义(P>0.05)。单纯型宫颈柱状上皮异位治愈率明显高于颗粒型与乳头型(P<0.05),但颗粒型糜烂与乳头型糜烂比较差异无统计学意义(P>0.05)。结论高能聚焦超声治疗仪对宫颈柱状上皮异位具有较好的临床疗效,对于轻中度宫颈柱状上皮异位和单纯型糜烂效果尤佳。
Objective To observe the clinical effect of high energy focused ultrasound on cervical columnar epithelium. Methods A total of 167 patients with cervical columnar epithelial ectopic patients treated in our hospital from January 2007 to December 2008 were enrolled in this study. All patients were treated with high energy focused ultrasound therapy instrument, and the clinical efficacy was observed 3 months after treatment. At the same time, the clinical effects of mild, moderate and severe erosion were compared with those of simple type, granular type and papillary erosion. Results 167 patients cured 88 cases, the total cure rate was 52.69%, the total effective rate was 95.81%. The total effective rate of mild and moderate erosions was significantly higher than that of severe erosions (P <0.05), but the total effective rate of mild and moderate erosions was no significant difference (P> 0.05). The cure rate of simple type cervical columnar epithelium was significantly higher than that of granular type and papillary type (P <0.05), but there was no significant difference between granular type erosion and papillary erosion (P> 0.05). Conclusion High-power Focused Ultrasound apparatus has good clinical effect on cervical columnar epithelial ectopic, especially for mild to moderate cervical columnar epithelial ectopic and simple type of erosion.