CO_2激光联合电凝治疗宫颈病变2 344例的疗效观察

Curative effect of 2 344 patients with cervical lesions by CO_2 laser and electrocoagulation

目的探讨CO2激光联合电凝治疗宫颈病变的临床疗效。方法采用CO2激光为主,电凝治疗为辅的联合治疗法,根据病变的不同程度,用适宜的治疗深度。结果宫颈糜烂的一次性治愈率为95.59%,CINⅠ的一次性治愈率94.82%,CINⅡ的一次性治愈率88.89%,总有效率100%。轻、中、重度间,差异有显著意义(P<0.05),轻度及中度,明显优于重度。单纯型、颗粒型、乳头型、外翻、CIN间,差异有显著意义(P<0.05),单纯型显著优于颗粒型、乳头型、外翻、CIN,颗粒型明显优于乳头型及外翻。结论激光联合电凝治疗宫颈病变具有疗效显著,术中出血少,治疗彻底,有宫颈整形作用等特点。

Objective To investigate clinical curative effect of cervical lesions treated by CO2 laser and electrocoagulation. Methods The therapeutic alliance was used with the help of the main CO2 laser and adjunct electrocoagulation. Based on the different degree of lesions, the eligible depth for carterization was chosen. Results The cure rate of cervical erosion treated only noce was 95.59 % , and of CIN Ⅰ 94. 82% , and of CIN Ⅱ 88.89 %. The total effective rate was 100%. The contrast of cure rate among mild, moderate and severe cases showed significant difference （ P 〈 0. 05 ）, and that of mild and moderate cases outstripped that of severe cases conspicuously. The contrast of cure rate among the simple, granular, mamilla, ecstrophy and CIN showed significant difference （ P 〈 0. 05 ） that the simple cases outstripped the casses of granular, mamilla, ecstrophy and CIN remarkably and the granular cases outstripped the cases of mamilla and ecstrophy significantly. Conclusion The therapeutic alliance by CO2 laser and electrocoagulation possessed obvious curative effect, less bleeding in operation, thorough healing and cervical reshaping.