宫颈病变采用中成药治疗及其临床分析

Study the clinical curative effect of Chinese medicine therapy used for cervical erosion

目的:探讨中成药、宫颈锥切治疗宫颈糜烂的临床效果,指导临床正确选择治疗宫颈糜烂的治疗方法。方法:在我院门诊对不同程度的100例宫颈糜烂的患者给予中药治疗,对中、重度宫颈糜烂合并有肥大、纳囊等形态学变化较重的50例患者,给予宫颈锥切手术治疗,并连续随访3个月。结果:轻、中、重度宫颈糜烂中药治疗总有效率分别为96.8%、93.6%、77.3%,痊愈率分别为51.6%、21.3%、9.1%。中成药治疗单纯性、颗粒性、乳头性宫颈糜烂总有效率分别为100%、93.2%、66.7%,痊愈率分别为42.1%、25%、5.6%。手术组总有效率为100%,痊愈率为98%。中、重度糜烂患者宫颈锥切组痊愈率和总有效率明显高于中成药治疗组。结论:临床应根据不同患者选择不同治疗方法,对轻度、单纯性宫颈糜烂采用中药治疗是较理想的非创性方法,对重度宫颈糜烂和病变采用宫颈锥切是较理想的微创手术方法。

Objective： To explore the clinical effect of Chinese medicine therapy and transcervical resection of cervical lesion （TCRC） used for cervical erosion to know how to choose accurate method for treating this disease. Method： 100 patients with cervical erosion （Including Ⅰ,Ⅱ,Ⅲ degree） were treated by Chinese medicine Gong Jing Yah Kang embolus, besides 50 cervical erosion （ Ⅱ,Ⅲ） with severe benign cervical disease treated by TCRC. All cases were following up during the next 3 months. Result： After therapy different degree cervical erosion by the Chinese medicine, there were 28 cases healed （28%） and the total effective rate was 91%. On the group of TCRC, there were 49 cases healed （98%） and the total effective rate was 100%. Conclusion： The different methods should be chosen according different patients. The medicine of Gongjingyankang embolus is safe and effective in the treatment of mild cases of cervical erosion. Transcervical resection of cervical lesion had high cure rate and less complications, is an efficient treatment of severe cases of cervical erosion and also effective way of the other cervical benign disease.