宫腔镜电切宫颈治疗慢性宫颈炎的临床研究

Clinical Study on Treatment of Chronic Cervicitis by HysteroscopicElectroconization

目的 :探讨宫腔镜电切宫颈治疗严重宫颈炎的疗效。方法 :用宫腔镜环状维形切除宫颈增生炎性组织 ,切除组织全部送病理检查。治疗 72例 ,随访 6 5例 ,平均随访时间 10个月 (术后 1～ 2 4个月 )。结果 :术后 2个月宫颈糜烂一次性治愈率达 98.46 % ,83.70 %宫颈恢复正常大小 ,15例随访 2年无息肉糜烂复发。平均手术时间 9min,术中出血 5～ 10 ml,术后感染率 4.16 % ,11%患者脱痂出血超过月经量 ,经压迫 (3d～ 5 d)血止。结论 :宫腔镜电切宫颈治疗严重宫颈炎治愈率高、操作安全、简便 ,术后并发症少 ,患者乐于接受。

Objectives:To discuss the effect of treating severe cervicitis by cervix excision by electroconization.Methods:Cervical hyperplasia imflammatory tissue was resected annularly and taperly by hysteroscope. All of the resections were examined for pathology. Treatments were 72. Follow-ups were 65. Average follow up time was 10months(1 months-24 months after operation).Results:Primary healing rate of cervical erosion is 98.46% and 83.07% of cervix become normal 2 months after operation 15 cases were normal without polyp or erosion recurrance after 2 year follow up. The average operation time was 9 minutes. The bleeding quantity was 5～10ml during operation. Infection rate after operation was 4.16%. Bleeding of 11% cases exceeded quantity of menstruation because of decrustation, however,bleeding was stopped after compression for 3～5 days.Conclusions:Healing rate of severe cervictits by cervix excision by electroconization is high, which is safe.Operation process is simple and the complication is low,so it is easily accepted by the patients.