不同聚焦超声扫描方式治疗炎症性宫颈糜烂样改变的疗效观察

Curative Effect Observation on Different Ways of Focused Ultrasound Scanning of Treatment of Inflammatory Cervical Erosion Change

目的比较聚焦超声采用渐开线扫描方式和直线扫描方式治疗中、重度炎症性宫颈糜烂样改变的临床疗效和副反应。方法选择2009年1月—2015年3月在甘肃省白银市妇幼保健院门诊就诊的中、重度炎症性宫颈糜烂样改变患者共341例,根据聚焦超声扫描方式的不同随机分为两组,研究组171例,采用渐开线扫描方式治疗中、重度炎症性宫颈糜烂样改变;对照组170例,采用直线扫描方式,比较两组患者的临床疗效和副反应。结果研究组中对中、重度炎症性宫颈糜烂样改变的一次性治愈率分别是93.4%、87.7%;对照组中对中、重度炎症性宫颈糜烂样改变的一次性治愈率分别是75.9%、61.2%,两组差异有统计学意义(P<0.05)。研究组治疗后阴道流液、阴道出血及结痂的发生率明显低于对照组。结论聚焦超声采用渐开线扫描方式治疗中、重度炎症性宫颈糜烂样改变治愈率高,副反应小,术后没有宫颈管狭窄及瘢痕形成等并发症。

OBJECTIVE To compare the clinical efficacy and side effects of focused ultrasound to treat the moderate and severe Inflammatory cervical erosion that used involute scanning mode or linear scanning mode. METHODS To select 341 outpatients of target hospital who suffered moderate and severe inflammatory cervical erosion from January 2009 to March 2015, and divided them into two groups based on the two different scanning modes of the focused ultrasound. The study group included 171 cases who were used invo- lute scanning mode. The control group included 170 cases who were used linear scanning mode. Compared the clinical efficacy and side effects of the patients from the two groups. RESULTS The one-time cure rate of the moderate and severe inflammatory cervical erosion in the study group were 93.4% and 87.7%, while that in the control group were 75.9% and 61.2%. The differences in two groups were statistically effective （P〈0.05）. The incidences of vaginal fluid, bleeding and scab of the patients after treatment in study group were lower than that in the control group. CONCLUSIONS The cure rate of focused ultrasound used involute scanning mode for the moderate and severe inflammatory cervical erosion was higher and the side effects were lower and there was no complication such as cervical canal stenosis and scar formation after the treatment of focused ultrasoud.