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慢性宫颈炎的治疗方法大全-子宫肌瘤的原因_子宫肌瘤的治疗方法_子宫肌瘤的症状_超声消融_99子宫网
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慢性宫颈炎的治疗方法大全

作者:管理员        来源:99子宫网        发布日期:2010-11-15        访问量:7397
导读:宫颈炎是女性常见的一种妇科疾病,也有很多的治疗方法,如药物治疗,物理治疗等;而物理治疗又可以分为电凝法、冷冻疗法、激光疗法、海极星超声治疗等

       通过妇科检查,可见宫颈有亮红色细颗粒糜烂区及颈管分泌脓性粘液白带,即可得出诊断为慢性宫颈炎。慢性宫颈炎可通过药物疗法和物理疗法来治疗。


       一、药物治疗

      1、局部阴道灌洗及局部上药:
       为最常用的治疗方法。灌洗可用1:5000过锰酸钾溶液,1:1000新洁尔灭溶液,1%酸溶液或0.5% ~1%乳酸溶液。轻度表浅者可用棉签蘸5% ~10%碘酊或5% ~10%硝酸银溶液局部腐蚀糜烂面,1周1次,能促进糜烂面痊愈。但应用时须注意避免药液漏到病变区域以外的正常粘膜上。涂硝酸银后,随即用生理盐水棉球轻轻蘸擦,现已少用。局部应用氯考片(氯霉素250mg与强的松5rag制成片),每晚或隔晚放于阴道深部,连用1O次为1疗程,其效果与一般消毒药剂灌洗不相上下,可根据情况选用。
       2 、阴道侧穹窿封闭:
       可用于慢性子宫颈炎合并子宫颈旁结缔组织炎、腰骶痛及宫颈举痛明显、严重影响性生活者。
       3、中药洗剂的洁尔阴:
       适用于各种急慢性宫颈炎。其主要成分是蛇床子,黄柏、苦参、苍术。一般用10%的药液行阴道冲洗或坐浴,每日1次,两周为1疗程。


       二、物理疗法
       是目前治疗子宫颈糜烂疗效较好、疗程最短的方法。适用于糜烂面较大和炎症浸润较深的病例。
       1、电凝法:
       以往采用辐射线状电烙法,愈合时间较久(6~8周),目前多改用电凝法,将整个糜烂熨平,故又称电熨。电熨疗法治疗宫颈糜烂1次有效率为100%。
       具体操作,先安置好电熨器,常规消毒外阴、阴道及宫颈。用阴道窥器暴露好宫颈,将电熨头接触糜烂面,均匀电熨,范围略超过糜烂面。电熨深度约0.2cm,过深可致出血,愈合较慢;过浅影响疗效。电熨后创面喷撒呋喃西林粉或涂以金霉素甘油。
        2、冷冻疗法:
       是一种超低温治疗,制冷源为液氮,温度为一196℃。治疗时根据糜烂情况选择适当探头。为提高疗效可采用冻一溶一冻法,即冷冻lmin,复温3min、再冷冻1min。其优点是操作简单,术后很少发生出血及颈管狭窄。缺点是术后阴道排液多。
        3、激光治疗:
       是一种高温治疗,温度可达700~C以上。主要使糜烂组织炭化结痂,待痂脱落后,创面为新生的鳞状上皮覆盖。治疗宫颈糜烂一般采用二氧化碳激光器,波长为10.6um的红外光。治疗前的准备同电熨术。其优点除热效应外,还有压力、光化学及电磁场效应,因而在治疗上有消炎(刺激机体产生较强的防御免疫机能)、止痛(使组织水肿消退,减少对神经末梢的化学性与机械性刺激)及促进组织修复(增强上皮细胞的合成代谢作用,促进上皮增生,加速创面修复),故治疗时间短,治愈率高。
        4、海极星超声治疗:
       是最新、最好的宫颈炎治疗方式,适用于宫颈糜烂、宫颈肥大、宫颈息肉、宫颈纳囊的治疗;聚焦超声是将体外低能量的超声波在穿过组织时进行聚焦,将焦点放置于靶区,利用超声波的热效应、机械效应和空化效应等破坏病变组织而达到治疗的目的。治疗有效性高,术后反应轻,几乎没有术后后遗症出现。
       总述:物理疗法的治疗时问应在月经干净后3—7天内进行,有急性生殖器炎症时禁用。物理疗法术后阴道分泌物增多,应保持外阴清洁,在创面尚未愈合前(术后4~8周)应避免盆浴、性交及阴道冲洗。如行冷冻治疗,术前应询问患者有无心脏病病史,必要时做心电图检查。有心脏病者禁用。
 

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