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[目的]探讨宫颈糜烂微波治疗后脱痂期多量出血的原因及处理方法。[方法]分析40例宫颈糜烂微波术后脱痂期超月经量出血病人的临床资料,分析出血原因及类型,评价不同处理方法的效果。[结果]出血原因:治疗过深18例、创面感染10例、8例脱痂期有剧烈运动或重体力劳动、4例术后有同房史。出血类型:点状出血15例、弥漫性出血9例、点状出血合并渗血12例、宫颈管壁渗血4例。[结论]宫颈糜烂微波治疗后脱痂期多量出血原因及类型不同,只有根据病人具体情况采用不同止血方案,才能达到最佳止血效果。
[Objective] To investigate the causes and treatment of massive bleeding after scald erosion during microwave treatment of cervical erosion. [Methods] The clinical data of 40 patients with super-menstrual bleeding after esophageal erosion were analyzed. The causes and types of bleeding were analyzed. The effects of different treatment methods were evaluated. [Result] The causes of hemorrhage were as follows: 18 cases were treated too deeply, 10 cases were infected with wounds, 8 cases were strenuous exercise or heavy labor during scalping, and 4 cases had same room history after operation. Bleeding types: punctate bleeding in 15 cases, diffuse bleeding in 9 cases, punctate bleeding combined bleeding in 12 cases, 4 cases of cervical wall bleeding. [Conclusion] The causes and types of massive hemorrhage after scald erosion during microwave treatment of cervical erosion are different. Only by using different hemostatic schemes according to the patient ’s specific conditions can the best hemostatic effect be achieved.