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目的:探讨宫颈环形电切术后使用唯阴康(阴道抑菌吸附器)治疗人乳头瘤病毒(HPV)阳性重度宫颈糜烂的临床疗效。方法:对128例HPV高危型阳性重度宫颈糜烂患者,随机分为两组,单纯宫颈环形电切术70例(宫颈环形电切术组);宫颈环形电切术后使用唯阴康治疗58例(宫颈环形电切术+唯阴康组)。观察两组术后阴道排液、出血,出血情况时间及愈合情况。结果:术后阴道排液,出血宫颈环形电切术+唯阴康组优于宫颈环形电切术组(P<0.05);术后阴道出血时间:宫颈环形电切术+唯阴康组短于宫颈环形电切术,差异有统计学意义;术后随访8周,宫颈环形电切术+唯阴康组治愈率为96.6%,宫颈环形电切术组95.7%(P>0.05)。结论:唯阴康联合宫颈环形电切术治疗慢性宫颈炎具有操作简便,起效迅速,并发症少,愈合快的优点。
Objective: To investigate the clinical efficacy of CDC (vaginal antibacterial adsorbent) for the treatment of HPV-positive severe cervical erosion after cervical ring electrosurgical resection. Methods: A total of 128 high-risk HPV-positive patients with severe cervical erosion were randomly divided into two groups, 70 patients underwent pure cervical circumcision (cervical circumcision); 58 patients underwent circumflex circumcision (Cervical ring resection + Wei Yin Kang group). The two groups were observed after vaginal discharge, bleeding, bleeding time and healing. Results: Vaginal drainage and hemorrhage after cervical vaginal resection + Weiyinkang group were superior to those underwent cervical ring excision (P <0.05); Vaginal bleeding after operation: Cervical ring resection + Weiyinkang group There was statistically significant difference in cervical ring excision. After 8 weeks of follow-up, the cure rate of cervical ring excision + Weiyin-kang group was 96.6%, and 95.7% of the cervical ring excision group (P> 0.05). Conclusion: Weiyang Kang combined with cervical ring excision for chronic cervicitis has the advantages of simple operation, rapid onset, fewer complications and quick healing.