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Clinical Study on Focused Ultrasound Therapy in the Treatment of Chronic Cervicitis

Author: ZhangHaiPeng
Tutor: FengLiHua
School: Jilin University
Course: Clinical
Keywords: Focused Ultrasound Treatment Chronic cervicitis
CLC: R711.32
Type: Master's thesis
Year: 2007
Downloads: 104
Quote: 0
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Abstract


Chronic cervicitis is the most common form of inflammation of the female reproductive system, high incidence, accounting for more than half of the married women. Chronic cervicitis from acute cervicitis persistent from inadequate treatment of acute cervicitis pathogens hidden in the form of chronic inflammation in the cervical mucosa, some patients have no symptoms of acute cervicitis, chronic cervicitis. The common clinical cervicitis cervical canal mucositis endocervical mucosal epithelium simple columnar epithelium, poor resistance to infection, and prone to infection and cervical canal mucosal folds event of infection, pathogens hidden in cervical mucosal folds within, it is difficult to be completely clear for a long time and lead to chronic inflammation of the cervix. A chronic cervicitis mainly as vaginal secretions, contact bleeding, lumbosacral pain, lower abdominal pain, bulge, and rare of cervical factors on fertility. In recent years, studies have shown that, due to the increase in sexually transmitted disease, human papillomavirus (HPV), Chlamydia trachomatis (CT), herpes simplex virus type Ⅱ (HSV-Ⅱ) cervical erosion caused by increasing number of HPV Among the many causes dominant status, and the like lesions of cervical intraepithelial neoplasia (CIN) and cervical cancer is closely related to cervical erosion by the CIN final development to cervical cancer. These tips aggressive treatment the chronic cervicitis blocking precancerous lesions, to improve the quality of life of patients and reduce the incidence of cervical cancer has important implications. Treatment of chronic cervicitis many ways, with local therapy, drug therapy may be used, physiotherapy and surgical treatment. Drug treatment ineffective after years of clinical validation, usually as an adjuvant therapy; surgical removal of tissue destruction and trauma is relatively large, so clinical physical therapy was still dominated. The principle of physical therapy with a variety of physical methods simple columnar epithelium of the erosion surface damage to necrotic, covered by stratified squamous epithelium of the nascent. Because these treatments will appear after vaginal discharge, bleeding; easy to form cervical scar and concurrent cervical stenosis, not for the selection of nulliparous patients. Focused ultrasound treatment technology as a new non-invasive means of local treatment, can well make up for the deficiencies in the above treatment, the course of treatment, no scab formation, not heavy bleeding scabs fall off, the healing of cervical tissue elasticity no cervical scarring, cervical stenosis or other consequences, more suitable for patients with fertility requirements. This article comes from January 2005 to December 2006, our hospital gynecology clinic by cytology and colposcopy diagnosis to select 155 cases of chronic cervicitis, focused ultrasound therapy for the treatment of 178 cases of electric iron. Within 3 months after treatment, all patients were followed up regularly conducted to determine the efficacy, adverse reactions and complications of the two treatment methods for statistical analysis, to investigate the clinical efficacy and adverse effects of focused ultrasound treatment of chronic cervicitis. Results cure rate compared differences between the two groups was not statistically significant (P gt; 0.05). After treatment, vaginal discharge, vaginal bleeding, crusting, scarring and other adverse reactions and complications compared, the difference was statistically significant (P lt; 0.05). Treatment of chronic cervicitis focused ultrasound group, shorter postoperative vaginal discharge, no case of vaginal bleeding, no scab and cervical scar formation, will not lead to cervical stenosis affect fertility, women's fertility requirements also no restrictions, is a worthy new method, its mode of treatment is also one of the direction of our efforts.

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CLC: > Medicine, health > Obstetrics and Gynaecology > Gynecology > Female genital inflammation > Metritis,endometritis,and cervicitis
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