宫颈物理治疗前支原体检测和治疗的意义

The Significance of Cervical Physical Therapy for Mycoplasma Detection and Treatment

目的探讨宫颈物理治疗前支原体检测和治疗的意义。方法选择2014年6月-2015年6月在我院拟行宫颈物理治疗患者316例,随机分为两组,试验组予术前支原体检测和治疗,对照组直接手术治疗。观察术前及术后的治疗效果。结果宫颈糜烂患者支原体检出率为48.2%,中、重度糜烂患者支原体检出率高于轻度糜烂患者（56.6%vs.33.3%,P=0.004）。支原体检测和治疗后宫颈手术缩减率为18.1%。试验组与对照组比较,术后宫颈创面愈合率差异无统计学意义（96.1%vs.93.9%,P=0.502）,临床症状改善情况试验组优于对照组（P=0.001）。结论宫颈物理治疗前支原体检测和治疗,改善手术前后临床症状,减少了手术干预。

Objective To investigate mycoplasma detection and treatment before cervical physical therapy. Methods 316 cases of plan to accept cervical physical therapy patients were chosen from June 2014 to June 2015, were involved to divide two groups. Test group were detected mycoplasma and accepted treatment before cervical physical therapy, control group were accept cervical physical therapy directly. Treatment effects were observed before and after surgery. Results The rate of mycoplasma infection in cervical erosion was 48.2%, moderate and severe cervical erosion higher than mild cervical erosion（56.6% vs. 33.3%,P=0.004）. High-risk HPV infection with mycoplasma infection was common. Mycoplasma treatment relieved symptoms in some patient,and reduced the rate of surgery 18.1%. Cervical healing rate was no significant difference（96.1% vs. 93.9%,P=0.502） between two groups, but improvement of clinical symptoms was better in test group（P=0.001）. Conclusion Before and after the treatment of cervical physical therapy, the clinical symptoms were improved, and the surgical intervention was reduced.