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笔者应用小功率CO_2激光治疗宫颈糜烂,外加口服药物预防术后出血,取得较满意的结果,报道如下.1 资料与方法1.1一般资料 接受治疗的为Ⅱ、Ⅲ度宫颈糜烂患者均已婚,计104例.治疗组53例,年龄26～45岁,平均年龄34.5岁;对照组51例,年龄25～51岁,平均年龄34.9岁.1.2宫颈糜烂分度 根据郑怀美主编的《妇产科学》所定标准.治疗组Ⅱ度36例,Ⅲ度17例;对照组Ⅱ度32例,Ⅲ度19例.1.3 术前准备 患者妇科检查无滴虫及霉菌性阴道炎,癌细胞检查阴性.于月经干净后3～7d内进行治疗.1.4 治疗方法 取膀胱截面位,常规消毒外阴及阴道,铺巾后,用窥阴器充分暴露宫颈,消除阴道分泌物,开机操作.治疗组:使用CO_2激光,输出功率5W,原光束直径0.2cm调好光束,换上妇科刀头,对准糜烂处,距离2～4cm,自下而上,由外向内作扫描烧灼,至糜烂组织汽化.糜烂严重的地方重复烧灼.术后给予口服药物:VitC 200mg,3次/d;安络血5mg,
I use low-power CO_2 laser treatment of cervical erosion, plus oral medication to prevent postoperative bleeding, and achieved more satisfactory results reported as follows.1 Materials and Methods 1.1 General Information The treatment of Ⅱ, Ⅲ degree cervical erosion patients were married, total 104 cases.The treatment group of 53 cases, aged 26 to 45 years, with an average age of 34.5 years old; control group of 51 patients, aged 25 to 51 years, mean age 34.9 years.1.2 Cervical erosion index according to Zheng Huai-mei, “Obstetrics and Gynecology” Standard treatment group Ⅱ degree 36 cases, Ⅲ degree 17 cases; control group Ⅱ 32 cases, Ⅲ degree 19 cases.1.3 preoperative preparation for gynecological examination without trichomoniasis and fungal vaginitis, cancer cell test was negative in the menstrual clean After 3 ~ 7d for treatment .1.4 treatment of bladder cross-section, routine disinfection of the vulva and vagina, shop towel, with a full exposure of the cervix vaginal secretions, eliminate vaginal discharge, boot operation. Treatment group: the use of CO2 laser output Power 5W, the original beam diameter 0.2cm tune the beam, put gynecological head, alignment erosion, the distance 2 ~ 4cm, bottom-up, scan from outside to inside scorching, erosion of the erosion of the organization. Burning after oral administration of drugs: VitC 200mg, / D; Adrenosem 5mg,