Methods of treatment of cervical leukoplakia
When a doctor makes a diagnosis of cervical pathology,such as erosion, leukoplakia, ectropion and other, warts and external genitalia, before the patient is always a question: how to cure the disease?
There are the following methods of treatment of cervical leukoplakia:
- chemical coagulation - cervical treatment of special medicament
- cryosurgery - freezing with liquid nitrogen
- diathermocoagulation - electric shocks (diathermocoagulation, DEK)
- radiowave destruction method
- laser coagulation - laser exposure (laser destruction, laser vaporization)
cervical Cryodestruction - a method of treatment,based on the tissue coagulation cold. In carrying out this procedure is applied to the electrode of the cervix, which is created on the surface of the low temperature. The main advantages of cryoablation method - painless, bloodless, does not cause scarring of the cervix changes the minimum number of complications, activating immunoreactive body systems.
The disadvantages are:
- cervical shortening after cryotherapy
- heavy liquid separation at healing
- insignificant impact depth
- the possibility of recurrence of the disease, especially in women with menstrual irregularities
Electrocoagulation is widely available and oftenin practice. However, this method greatly damaged the surrounding healthy tissue, severe scarring can be formed. The procedure is quite painful, prolonged healing, can worsen chronic inflammation of the appendages, cause bleeding at the rejection of scab. There may be relapses. Scars after electrocautery may cause complications during subsequent childbirth and lead to the need for caesarean section.
Radio wave surgery
Radio wave surgery - it is non-invasive methodcutting and coagulation of soft tissue using high frequency radio waves. High-frequency energy is concentrated at the tip of the electrode heats the tissue and actually vaporizes the cell. Thus direct contact with the electrode missing cells, and the electrode is not heated.
In contrast, when applying eletrokoagulyatsiiradiosurgical method, the effect on tissue is not accompanied by mechanical disruption of cells and necrosis of the surrounding tissue. Tissue destruction when exposed to radio waves is several times smaller than with any other tool eletrohirurgicheskogo. Ability to use in nulliparous women (healing without scar formation).
Laser surgery is by far the method of choice for the treatment of diseases of the cervix and external genitalia.
Laser surgery has several advantages overother known methods of treatment for women who mainly consist in the fact that the procedure is painless and does not require large constraints in life, is made (usually) only once, the result is evaluated after 4 weeks and the disease is not repeated. From the viewpoint of medical laser surgery leaves scars and deformations, consequently, does not affect the subsequent pregnancy and childbirth, it may not be used in parous women.
Laser surgery is performed through a colposcope andtherefore limited to healthy tissue. Method laser exposure provides greater accuracy as to the depth and at the surface of the affected area.
The procedure is performed on an outpatient basis, for 5-8 daysmenstrual cycle. After removal of the diseased tissue of the cervix surface is formed within the area of necrosis of healthy tissue. This contributes to the rapid rejection of scab and early onset of healing. Scarring and narrowing of the cervix are not observed. The advantages of laser surgery are painless, aseptic, bloodless, formation of a thin coagulation film that prevents the penetration of infection into the underlying tissues.
Thus, a variety of treatment techniquescervical disease indicate the need for a differentiated approach to the choice of treatment method, taking into account the nature of the disease, the patient's age, indications and contraindications of each technique, efficiency and atraumatic.