摘要
目的 研究宫腔镜用于慢性宫颈炎治疗的临床疗效。方法 病例资料来源于我院2014年4月~2015年11月就诊的102例慢性宫颈炎患者。随机分组方法：随机数字表法。102例患者分为激光组和宫腔镜组。激光组采取激光方法治疗;宫腔镜组行宫腔镜电切治疗。比较：（1）慢性宫颈炎治愈率、治疗总有效率;（2）复发率、创面感染发生率;（3）干预前和干预后患者炎症因子hs-CRP、SOD、IL-6、TNF-α的差异。（4）两组患者手术时间、术中出血量的差异。结果 （1）宫腔镜组对比激光组慢性宫颈炎治愈率更高（P〈0.05）;两组治疗总有效率差异无统计学意义（P〉0.05）;（2）宫腔镜组对比激光组复发率、创面感染发生率更低（P〈0.05）;（3）干预前两组炎症因子hs-CRP、SOD、IL-6、TNF-α差异无统计学意义（P〉0.05）;干预后宫腔镜组对比激光组炎症因子hs-CRP、SOD、IL-6、TNF-α改善更显著（P〈0.05）。（4）宫腔镜组对比激光组手术时间更短,术中出血量更少（P〈0.05）。结论 宫腔镜用于慢性宫颈炎治疗的临床疗效确切,可有效减轻机体炎症水平,提高治愈率,降低复发率,且创伤小,操作简单,可缩短手术时间,减少术中出血和术后创面感染,值得推广。
Objective To explore the clinical curative effect of hysteroscopy in treatment of chronic cervicitis. Methods 102 cases of patients with chronic cervicitis cured in our hospital from Aril 2014 to November 2015 were selected as the study objects. According to the random digital table method, the 102 cases of patients were divided into laser group and hysteroscopy group. Patients in laser group were treated with laser method, and patients in hysteroseopy group were treated with hysteroscopy and electric cutting. The following were compared： （1） the cure rate of chronic cervieitis, the total effective rate of treatment. （2） Recurrence rate and incidence of wound infection. （3） Differences of inflammatory factors hs-CRP, SOD, IL-6 and TNF-α in patients before and after intervention. （4） Differences of operative time and blood loss between the two groups. Results （1） The cure rate of chronic eervicitis of hysteroscopy group was higher than that of laser gronp（P 〈 0.05）. The total effective rate of the two groups was close （P 〉 0.05）. （2） Recurrence rate and incidence of wound infection of hysteroscopy group were lower than those of laser group（P 〈 0.05）. （3） Inflammatory factors hs-CRP, SOD, IL-6 and TNF- ct of the two groups before intervention were close（P 〉 O.05）.Compared with laser group, inflammatory factors hs-CRP, SOD, IL-6 and TNF- ct of hysteroscopy group after intervention were significantly improved（P 〈 0.05）. （4） Compared with laser group, operation time of hysteroscopy group was shorter, and bleeding in surgery was less（P 〈 0.05）. Conclusion Hysteroscopy in treatment of chronic cervicitis has clinical curative effect. It can effectively reduce the level of inflammation of the body, improve the cure rate, and reduce recurrence rate. The wound is small, and the operation is simple. It can shorten the operation time, and reduce bleeding during operation and postoperative wound infection. It is worth promoting.
出处
《中国医药科学》
2016年第16期110-112,221,共4页
China Medicine And Pharmacy
关键词
宫腔镜
慢性宫颈炎
炎症因子
Hysteroscopy
Chronic cervicitis
Inflammatory factors
