激光与LEEP术治疗中、重度慢性宫颈炎的临床效果比较.doc

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1、激光与LEEP术治疗中、重度慢性宫颈炎的临床效果比较　　【摘要】目的：对比研究激光与LEEP术治疗中、重度慢性宫颈炎的效果。方法：选取2015年　　7月-2016年12月在本院接受治疗的中、重度慢性宫颈炎患者132例，随机分为A组和B组，每组66例，A组予以激光治疗，B组给予LEEP术治疗，比较两组的治疗效果。结果：B组手术时间、术中出血量、术后阴道排液时间及创面愈合时间均显著优于A组，差异均有统计学意义；B组中度糜烂和重度糜烂的治愈率分别为89.74%和85.18%，均显著高于A组的65.00%、57.69%，差

2、异均有统计学意义；B组脱痂出血>月经量比例、瘢痕形成率、复发率，均显著低于A组，差异均有统计�W意义。结论：与激光治疗比较，LEEP术在治疗中、重度慢性宫颈炎时手术时间更短、术中出血更少、术后恢复更快，对中、重度糜烂疗效尤佳，且并发症较少，是一种安全有效的治疗方案，值得推荐。　　【关键词】慢性宫颈炎；激光；LEEP术；疗效　　ComparisonofClinicalEffectsofLaserandLEEPintheTreatmentofModerateandSevereChronicCervicitis/XIAO

3、Ying.//MedicalInnovationofChina，2017，14：054-056　　【Abstract】Objective：TocompareandresearchtheeffectoflaserandLEEPinthetreatmentofseverechroniccervicitis.Method：132casesofmoderateandseverechroniccervicitisinourhospitalfromJuly2015toDecember2016wereselected，theyw

4、ererandomlydividedintoAgroupandBgroup，66casesineachgroup，Agroupwastreatedwithlaser，BgroupwastreatedwithLEEP，theeffectsofthetwogroupswerecompared.Result：Theoperationtime，intraoperativebleedingvolume，postoperativevaginaldischargetimeandwoundhealingtimeofgroupBwe

5、resignificantlybetterthanthoseinAgroup，thedifferenceswerestatisticallysignificant；themoderateerosionandsevereerosionofthecurerateingroupBwere89.74%and85.18%，significantlyhigherthan65.00%and57.69%inAgroup，thedifferenceswerestatisticallysignificant；thepercentage

6、ofexuvialhemorrhagemorethanmonthvolumeratio，scarformationrateandrecurrencerateoftheBgroupweresignificantlylowerthanAgroup，thedifferenceswerestatisticallysignificant.Conclusion：Comparedwithlasertreatment，LEEPoperationinthetreatmentofmoderateandseverechroniccerv

7、icitiswithshorteroperationtime，lessbleeding，fasterpostoperativerecovery，moderatetosevereerosion，thecurativeeffect，andfewercomplications，itisasafeandeffectivetreatment，worthyofrecommendation.　　【Keywords】Chroniccervicitis；Laser；LEEPtechnique；Curativeeffect　　Firs

8、t-author’saddress：JingdezhenMaternalandChildHealthHospital，Jingdezhen333000，China　　doi：10.3969/j.issn.1674-4985.2017.16.015　　慢性宫颈炎是临床常见的女性生殖道炎症性疾病，主要由急性宫颈炎未彻底治疗或治疗不及时转变，或阴道分娩、流产、手术