三种方案治疗重度宫颈炎症的疗效观察

目的:探讨微波联合保妇康栓治疗重度宫颈炎症的临床疗效。方法:将诊断为重度宫颈炎症并规范治疗的患者120例按治疗方案不同随机分为3组,A组44例,微波联合保妇康栓外用治疗;B组36例,微波治疗;C组40例,保妇康栓外用治疗。治疗后随访患者临床症状有无改善、宫颈创面修复时间长短、宫颈液基细胞学(TCT)检测有无改善和随访术后不良反应发生情况。结果:A、B、C组治愈率分别为90.9%、61.1%、12.5%,A组与B、C组比较差异有统计学意义(P<0.05),B组和C组组间比较差异有统计学意义(P<0.05)。4周内创面愈合A组优于B组(P<0.05),3周内阴道排液消失A组优于B组(P<0.05),结痂出血发生率A、B组分别为22.7%、41.7%,差异无统计学意义(P>0.05)。结论:微波联合保妇康栓治疗重度宫颈炎症可以优势互补,缩短治疗时间,提高治愈率,同时缓解微波术后不良反应,值得临床广泛推广。

Observation on curative effects of three therapeutic regimens for treatment of severe cervicitis

Objective:To explore the clinical efficacy of microwave combined with Baofukang suppository for treatment of severe cervicitis.Methods:One hundred and twenty patients who were diagnosed as severe cervicitis and treated with standard therapy were randomly divided into three groups according to different therapeutic regimens: 44 patients in group A were treated with microwave combined with Baofukang suppository;36 patients in group B were treated with microwave;40 patients in group C were treated with Baofukang suppository.After treatment,the improvements of clinical symptoms,cervical wound healing times,detection results of Thin Prep cytologic test(TCT),and postoperative adverse reactions in the three groups were followed up.Results:The curative rates in group A,group B,and group C were 90.9%,61.1%,and 12.5%,respectively;there was statistically significant difference in the curative rate between group A and group B,group C(P<0.05),and there was statistically significant difference in the curative rate between group B and group C(P<0.05).The healing of cervical wound within four weeks in group A was better than that in group B(P<0.05),the disappearance speed of vaginal drainage within three weeks in group A was statistically significantly faster than that in group B(P<0.05),the incidence rates of scab bleeding in group A and group B were 22.7% and 41.7%,respectively,there was no statistically significant difference between the two groups(P>0.05).Conclusion:Microwave therapy combined with Baofukang suppository has complementary advantages for treatment of severe cervicitis,the method can shorten therapeutic time,improve curative rate,and relieve postoperative adverse reactions of microwave,which is worthy to be popularized widely in clinic.