应用微波与激光治疗子宫颈糜烂的对比观察

将３００例慢性宫颈炎妇女随机分为微波组和激光组，分别采用微波组织凝固和ＣＯ＿２激光汽化进行治疗。结果：微波治疗宫颈糜烂一次治愈率９２．２０％（１４２／１５４），ＣＯ＿２激光一次治愈率７９．４５％（１１６／１４６）。两组治疗结果比较，差异有非常显著意义（Ｐ＜０．００５）。两组治疗后的不良反应大致相同，术中出血的发生率，微波组３．２５％（５／１５４），明显低于激光组２１．９２％（３２／１４６），差异有非常显著意义（Ｐ＜０．００５）。研究结果表明：微波组织凝固技术治疗宫颈糜烂一次治愈率高，术中止血效果好，操作简单，有实用价值。

A comparable study of microwave tissue coagu-lation (MTC) and CO_2 laser in treatment ofcervical erosion

n a randomized study, 300 patients with cervicalerosion were allocated to either MTC(154) orCO, Laser(146). The patients were treated on anoutbatient basis without anesthesia. In the case of ini-tial treatment failure the same method was to be usedfor retreatment. All the patients were followed-up foran average of 11 weeks(8- 12). 142 of 154microwave coagulated patients(92.20%) and 1 16 of146 Laserevaporated patients (79.45%) were curedafter one treatment, and there was significant diffe-rence between MTC and Laser group (P<0.005).Bleeding during operation occurred in 5 of 154 MTCgroup (3.25%) and 32 of 146 Laser group (21.92%)(p m 0.005). The result suggested that MTC had highercure rate and less complications. It is easy to handle.safe and economic.