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目的:本文介绍运用Ho:YAG激光治疗宫颈糜烂、宫颈息肉及宫颈尖锐湿疣的方法及疗效观察。方法:运用Ho:YAG激光治疗宫颈糜烂743例,其中轻度429例,中度263例,重度51例;宫颈息肉21例,采用峰值能量0.8-1.0J,频率10-12Hz;宫颈湿疣97例(包括妊娠合并宫颈湿疣23例),采用峰值能量0.5-0.8J,频率5-15Hz。结果:429例轻度宫颈糜烂及21例宫颈息肉均达到一次治疗后痊愈,一次治愈率为100%;263例中度宫颈糜烂中251例经一次治疗后痊愈,其余病例两次治疗后痊愈,一次治愈率为95.4%,两次治愈率为100%;51例重度宫颈糜烂中43例经一次治疗后痊愈,6例两次治疗后痊愈,2例两次治疗后基本痊愈,一次治愈率为84.3%,两次治愈率为96.1%。97例宫颈湿疣中64例经一次治疗后未复发,其余均有复发,妊娠合并宫颈湿疣者复发频率高,但均未出现大量出血、流产、早产等并发症。结论:运用Ho:YAG激光治疗上述宫颈疾病,治疗效果好、患者痛苦小,是一种操作简便、患者乐于接受的好方法。值得临床推广。
Objective: This article describes the use of Ho: YAG laser treatment of cervical erosion, cervical polyps and cervical condyloma method and efficacy. Methods: 743 cases of cervical erosion were treated with Ho: YAG laser, of which 429 cases were mild, 263 cases were moderate and 51 cases were severe; 21 cases were cervical polyp. The peak energy was 0.8-1.0J, the frequency was 10-12Hz; 97 cases were cervical condyloma (Including pregnancy with cervical condyloma in 23 cases), the peak energy 0.5-0.8J, frequency 5-15Hz. Results: 429 cases of mild cervical erosion and 21 cases of cervical polyps were cured after a treatment, a cure rate was 100%; 263 cases of moderate cervical erosion in 251 cases cured after a treatment, the rest of the two cases recovered after treatment, The first cure rate was 95.4%, the second cure rate was 100%; 51 cases of severe cervical erosion in 43 cases cured after a treatment, 6 cases cured after two treatments, two cases basically cured after two treatments, a cure rate 84.3%, twice the cure rate was 96.1%. Of the 97 cases of cervical condyloma, 64 cases did not relapse after one treatment, and the rest had recurrence. The frequency of recurrent pregnancy in patients with genital warts was high, but no complications such as massive bleeding, miscarriage and premature labor occurred. Conclusion: Ho: YAG laser treatment of the above cervical diseases, the treatment effect is good, the patient suffering is small, is a kind of easy operation, patients are willing to accept a good way. Worth clinical promotion.