At present, the treatment methods are mostly vaginal medication and physical methods. Vaginal medication is mostly traditional Chinese medicine or a mixture of traditional Chinese medicine and antibiotics, which has the effects of clearing away heat and dampness, reducing swelling and relieving pain, promoting blood circulation and promoting tissue regeneration, etc. It is non-invasive, convenient to use, and easily accepted by patients. It is especially suitable for patients with mild cervical erosion. However, for patients with moderate and severe cervical erosion, drug treatment is not effective and takes a long time and costs a lot. It is recommended to use physical methods to achieve better results. Cervical erosion is mostly treated with local treatment, and there are many methods, such as drug therapy, physical therapy, surgical treatment, etc. The purpose of the first two conservative treatments is to make the columnar epithelium on the surface of cervical erosion necrotize and fall off, creating conditions for the covering growth of new squamous epithelium. (1) Drug treatment: It is suitable for patients with a small erosion area and shallow inflammatory infiltration. Antibiotics can be used for local application, such as metronidazole, sulfonamides, furazolidone, etc. Traditional Chinese medicine is widely used in the treatment of cervical erosion in clinical practice, and the effect is also good. Some prescriptions and formulas are often selected, processed into powder or suppositories, placed on cotton balls, and applied to the eroded surface. Generally, the medicine is applied twice a week. During the treatment, there is more yellow vaginal discharge, but there should be no odor. The treatment usually starts after the menstruation is over, and the medicine is applied continuously for one month, and it is discontinued during the menstrual period. (2) Physical therapy: It is a widely used treatment method with the advantages of short treatment course and good efficacy. It is suitable for patients with large erosion area and deep inflammatory infiltration. Commonly used methods include electric ironing, laser therapy, and cryotherapy. Electric ironing should be performed within 3 to 7 days after menstruation. During treatment, the electric iron head is placed in contact with the eroded surface and slightly pressed, moving back and forth from the inside to the outside until it slightly exceeds the eroded surface. After surgery, 1% gentian violet is applied to the wound surface. The patient has more vaginal secretions within 2 to 3 days, and there may be a small amount of vaginal bleeding within 2 weeks. After 2 to 3 weeks, the wound surface will shed scabs and the squamous epithelium will begin to repair. Laser treatment uses laser to carbonize and scab the eroded tissue. The scab falls off about 3 weeks after surgery, and new squamous epithelium grows on the wound surface. There is also a lot of vaginal discharge after laser treatment. Cryotherapy uses liquid nitrogen as a cooling source and uses a rapid cooling device to freeze, necrotize, and fall off the eroded tissue. There is little bleeding after surgery, but there is more vaginal discharge, which generally lasts for 2 to 3 weeks. The necrotic tissue falls off in 6 weeks, and the wound heals in 8 weeks. |
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