聚焦超声治疗宫颈糜烂720例

Observation of the Effect of Intensity Focused Ultrasound on Cervical Erosion of 720 Cases

目的评价聚焦超声技术治疗宫颈糜烂的有效性及安全性。方法采用超声波妇科治疗仪对宫颈糜烂患者进行聚焦超声治疗,比较治疗前后不同分度,不同分型宫颈糜烂面积的改变,评价超声治疗的临床疗效。结果聚焦超声治疗后,轻、中、重度宫颈糜烂面积分别缩小91.7%、98.7%和80.1%;不同糜烂分度的疗效分别达到100.0%、95.8%和91.7%;不同糜烂分度的治愈率分别为83.3%、75.0%和45.8%,其中重度糜烂的治愈率明显低于轻、中度糜烂(P<0.05)。不同分型的疗效分别达到98.9%、91.0%和75.3%,其中乳头型宫颈糜烂疗效明显低于单纯型和颗粒型(P<0.05),不同分型的治愈率分别为76.7%、50.0%和15.8%,其中乳头性糜烂的治愈率明显低于单纯性和颗粒型糜烂的治愈率(P<0.05);颗粒型糜烂的治愈率低于单纯型(P<0.05)。结论治疗剂量的聚焦超声能安全有效地治疗宫颈糜烂,但宫颈糜烂程度越重治愈率越低,需多次治疗。

Objective To investigate the efficiency and reliability of high intensity focused ultrasound treatment on chronic of eervicitis. Methods Gynecological ultrasound therapeutic apparatus equipment was used to treat 720 case of patients with chronic cervieitis. The change of the area of cervical erosion were recorded and compared before and after treatment ,to evaluate the efficiency and reliability of focused ultrasound treatment. Results After the treatment, the area of cervical erosion decreased by 91.7% ,98.7% and 80.1% in mild,moderate and severe degree patients. The efficacy of focused ultrasound treatment was 100.0% ,95.8% and 91.7% respectively. The rate of cure of focused ultrasound treatment was 83.3% ,75.0% and 45.8% for the patients＇cervical erosion area with mild,moderate and severe degree. Among them, the severe degree patients changed to mild and moderate degree （ P 〈 0.05 ）. The therapeutic efficiency of focused ultrasound on different type of cervicitis reached to 98.9% ,91.0% and 75.3% respectively. Among them,the cure rate of papillary cervical erosion was obviously lower than pure and granular type of cervical erosion （ P 〈 0.05 ）. The therapeutic efficiency of focused ultrasound on different type of cervicitis reached to 76.7% ,50.0% and 15.8% respectively. Among them, the cure rate of papillary cervical erosion was obvious lower than pure and granular type of cervical erosion patients （ P 〈0. 01 ,P 〈 0.05 ）. The cure rate of granular cervical erosion patients was obviously lower than pure type cervical erosion patients （P 〈 0.05 ） After ultrasound treatment, local organizations had a short cervix exudative inflammation, and vaginal discharge lasted for five to twenty - one days. The patients could recover in about one month. No severe bleeding resulted from scar - shedding occurred and there was no sear formation in the cervical canal. Conclusions High intensity focused ultrasound could treat chronic cervieitis effectively and safely. The severe the chronic cervieitis is,the low the cure rate will reach. It will be nice to treat eervicitis alternatively.