摘要
目的探讨宫腔镜电切术治疗慢性宫颈炎(chronic cervicitis)良性病变的疗效及对炎性因子的影响。方法分析我院自2011年1月~2012年1月收治的84例慢性宫颈炎患者,随机数字表法分为观察组44例给予宫腔镜下治疗和对照组40例给予激光治疗。比较两组炎性因子(TNF-α、hs-CRP、SOD、IL)水平变化、临床总体疗效以及术后并发症情况。结果①观察组治疗后血清炎性因子TNF-α、hs-CRP、IL、SOD水平的变化水平低于对照组,两组比较差异有统计学意义(P<0.05)。②两组总有效率分别为95.4%(42/44)、77.5%(31/40),两组比较差异有统计学意义(χ2=4.86,P<0.05)。③观察组创面感染、乳头瘤样结节增生及复发率均低于对照组,两组比较差异有统计学意义(P<0.05)。结论宫腔镜下电波刀治疗慢性宫颈炎良性病变,可改善血清炎性因子水平、提高临床总有效率、减少并发症的发生、降低复发率。
Objective To investigate the hysteroscopic electrotomy treat chronic cervicitis benign lesions and the influence of inflammatory factor. Methods A total of 84 cases of chronic cervicitis from January 2011 to January 2012, were ran- domly divided into observation group(44 cases)which were given hysteroscopyand and experimental group(40 cases)which were given laser treatment. The level of hs-CRP, IL, TNF-α, SOD, clinical curative effect, complications situation were compared. Results ( 1 )The difference of the level of inflammatory factor TNF-α, hs-CRP, IL, SOD between control group and observation group were statistically significant (P 〈 0.05). (2)The total effective rate were 95.4% (42/44), 77.5% (31/40) in two groups (X2=4.86, P 〈 0.05 ). (3)The difference of wound infection, papilloma sample nodular hyperplasia and recurrence rates were statistically significant(P 〈 0.05). Conclusion Hysteroscopy radio knife can improve the level of serum inflammatory factor, enhance the total clinical efficiency, reduce the incidence of complications and the rate of recurrence.
出处
《中国现代医生》
2012年第36期31-32,35,共3页
China Modern Doctor
关键词
慢性宫颈炎
宫腔镜电切术
激光
炎性因子
Chronic cervicitis
Hysteroscopy radio knife
Laser
Inflammatory factor