微波治疗宫颈糜烂的临床观察与分析

目的:探讨微波治疗宫颈糜烂的临床效果。方法:采用国产微波治疗仪治疗297例宫颈糜烂患者。患者月经干净3～7天,术前24h禁性生活,术时病人取膀胱截石位,清洁外阴后,暴露宫颈,用聚维酮碘消毒液棉球擦净宫颈、阴道分泌物,然后再用5%冰醋酸拭洁宫颈,把专用宫颈糜烂治疗探头贴紧宫颈糜烂面,由内向外逐次烧灼,如为宫颈息肉,将治疗探头与息肉蒂部接触,息肉即摘除。结果:297例患者中240例患者来院随访,平均随访时间12周。一次性治愈率为98.75%(237/240),有效率为100.00%(240/240)。结论:微波治疗宫颈糜烂手术操作简便,安全性高,手术时间短,术中病人无痛苦及出血情况,治疗效果好。

穴位注射治疗颈性高血压54例

The 54 cases of cervical hypertension were treated by point injection on Jiaji C 2 as well as corresponding point of Jiaji in affected areas. The treatment was repeated once the other day and 5 times made up one course of treatment. Consequently 52 cases were cured and 2 were ineffective. The total effective rate was 94.4%. It indicates that such therapeutical method is a better treatment measure in treating cervical hypertension.

阴道超声在妇科急症异位妊娠诊断中的应用价值

目的:探讨阴道超声(TVS)在异位妊娠患者诊断中的应用价值。方法:选择89例经开腹或腹腔镜手术证实为异位妊娠的患者为研究对象,对妇科急腹症经阴道二维超声及结合彩色多谱勒超声的声像资料进行回顾性分析,并对腹部超声法(TAS)及阴道超声法的检查结果进行对比。结果:89例妇科急腹症经开腹或腹腔镜手术证实为异位妊娠,经阴道超声TVS检测诊断异位妊娠85例,诊断符合率为95.5%,其中胎囊型31例(34.8%),包块型52例(58.4%),盆腔积液型2例(2.2%)。经腹超声TAS检测诊断异位妊娠62例,与手术病理对照符合率为69.7%;其中胎囊型18例(20.2%),包块型36例(40.4%),盆腔积液型8例(9.0%)。两者相比较,差异具有统计学意义(P<0.05)。结论:经阴道超声检查能较早诊断妇科急症异位妊娠,并具备阳性率高、分辨力较高,能清晰显示盆腔脏器的细微病变等显著优势,可以为诊断妇科急症异位妊娠提供技术基础。