The first experience of using of argon plasma coagulation in the treatment of benign diseases of uterus cervix

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Urgency of research. Argon plasma coagulation (APC) as a method of monopolar high-frequency action upon a tissue, for last years is more and more widely used in endoscopy, open and laparoscopy surgery to stop bleedings and for devitalisation of superficial pathological processes. But the usage of this method in outpatient gynecology is poorly distributed.

The purpose of research. We carried out clinical research, the purpose of which was to rate the efficiency of usage APC in the treatment of women with pseudoerosion of uterus cervix in comparison with traditional techniques (DEC, criodestruction).

A material and methods. The essence of a technique consists in the following: the energy of a high frequency current is transferred to tissue by a no contact way, with the help of the ionized gas (argon) with formation of argon plasma beam between electrode and tissue. At the action of argon plasma beam on a tissue this tissue is locally heated and coagulated, the depth of coagulation does not exceed three millimeters

and depends on duration of action. The procedure APC was carried out on the device FOTEK EA-140 (ООО “FOTEK”, Ekaterinburg). 75 patients from 20 till 32 years old were included in the research. The histological diagnosis was epidermisational endocervicosis. Patients were divided into three groups, for 25 persons in each. The rating of efficiency of various techniques was based on interrogation, survey and colposcopy, that was done in 1 and in 2,5 months after procedure. There were fixed intensity of pain sensations during and after manipulation, duration of secretions from sexual ways, and also the speed of epitalisation.

Results of research. During the procedure patients of the 1 group (APC) marked “the moderate pains” or small discomfort in the bottom of a stomach which did not require analgesia, patients of the 2 groups (DEC) marked pulling pains in the bottom of a stomach of various intensity, in the 3 group (criodestruction) not any of the patients marked pain sensations during manipulation. After procedure 28% patients from the 1st group (APC) marked smear secretions from sexual ways in 7-10 days. All patients from the 2nd group complained within one month on purulent - bloody secretions from sexual ways. At 64% patients from the 3 group (criodestruction) within one month had plentiful watery secretions from sexual ways, sometimes with an impurity of blood.

According to the results of colposcopy in 2,5 months, the recovery in the 1 st group(APC) took place at 92% of the women, in the 2nd group(DEC) it was at 88% of the patients, and only at 48% of patients from the 3 group (criodestruction).

Conclusions. 1. APC has high efficiency, good endurance and provides high rate of endocervix epitalisation, combining with advantages of methods of DEC and criodestruction, that allows to recommend this method to use wider for treatment of benign diseases of uterus cervix. 2. More sparing electro-surgical influence of APC on tissue than of DEC and, probably absence of rough scaring of uterus cervix in the remote period after treatment, can be additional argument for its usage in women who did not beget a child. 3. The complete recovery after the usage of the method of APC comes much faster, than after criodestruction.

About the authors

Е. Y Gluhov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Ekaterinburg

Т. V. Kuzina

Email: info@eco-vector.com
Russian Federation, Ekaterinburg

L. М. Gromova

Email: info@eco-vector.com
Russian Federation, Ekaterinburg

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