Öz
Aim: Cervical erosion or cervical ectropion refers to the presence of endocervical cells on the vaginal portion of the cervix. Recently, CO2 laser has been introduced as a treatment for cervical erosion. The aim of this study is to investigate the treatment outcomes of cervical erosions with laser therapy, highlight the results, and demonstrate that the laser technique could be healthier and more beneficial compared to other treatment methods.
Materials and Methods: In our study conducted at the Women's Health and Obstetrics Department of the Central Customs Hospital, 26 female patients diagnosed with cervical erosion were examined. Cervical erosion was diagnosed in 24 patients, and CIN I was diagnosed in 2 patients. The study includes patients who received laser treatment between October 2023 and August 2024.
Results: A total of 26 patients with cervical erosion were treated with CO2 laser. The CO2 laser power was applied in the range of 2.5-4 W during the procedure. After the treatment, all 26 patients experienced mild vaginal discharge for one week. The patients were called for a follow-up 4 weeks after the CO2 laser treatment, and 2 patients (%8) exhibited cervical hyperemia. Complete healing was observed in the cervix of the remaining 24 patients (%92).
Conclusion: CO2 laser is a reliable, acceptable, and easy-to-apply treatment method in outpatient settings with a short session duration. Laser treatment, when applied with the correct number of sessions and proper dosage, facilitates rapid cell regeneration and easy healing in the cervix and vaginal walls. Due to its minimal invasiveness, pain-free application, high efficacy, and short session duration, CO2 laser is widely used in modern gynecology.
Anahtar Kelimeler
Kaynakça
- Sakhipova, G. Z., Abenova, N. A., Zhumabaeva, T. N., Seypenova, A. N., & Shamshaeva, D. O. (2020). Clinical experience in management of patients with cervical erosion and ectopia. Open Access Macedonian Journal of Medical Sciences, 8(B), 226-230.
- Strachan, G. I. (1925). The pathology and treatment of erosion of the cervix. The British Medical Journal, 743-745.
- Hoshi, K., Honda, S., Endo, C., Sato, A., & Sekimoto, S. (1993). Wound healing process in the portio vaginalis uteri after CO2-laser treatment. The Tohoku Journal of Experimental Medicine, 170(3), 135-146.
- Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2015: Diseases Characterized by Urethritis and Cervicitis. MMWR Recomm Rep 2015; 64(3). June 15, 2015. 51-53.
- Chamberlain G., “Gynecology by Ten teaches 16th edition”, 1995, pp. 84, 86, 95-98 and 124-126.
- Takacs P, Sipos AG, Kozma B, Cunningham TD, Larson K, Lampé R, et al. The effect of vaginal microablative fractional CO2 laser treatment on vaginal cytology. Lasers Surg Med. 2020; 52 (8):708–712. Doi: 10.1002/lsm.23211.
- Goldacre MJ, Loudon N, Watt B, Grant G, Loudon JD, mcpherson K, Vessey MP. Epidemiology and clinical significance of cervical erosion in women attending a family planning clinic. Br Med J. 1978 Mar 25; 1 (6115):748-50.
- Reich O, Regauer S, mccluggage WG, Bergeron C, Redman C. Defining the Cervical Transformation Zone and Squamocolumnar Junction: Can We Reach a Common Colposcopic and Histologic Definition? Int J Gynecol Pathol. 2017 Nov; 36 (6):517-522.
- Autier P, Coibion M, Huet F, Grivegnee AR. Transformation zone location and intraepithelial neoplasia of the cervix uteri. Br J Cancer. 1996 Aug; 74 (3):488-90.
Öz
Amaç: Servikal erozyon veya servikal ektropiyon, endoservikal hücrelerin, vajinal kısmın dışına yerleşmesidir. Son zamanlarda servikal erozyon tedavisinde CO2 lazer kullanılmaya başlanılmıştır Çalışmanın amacı servikal erozyonların lazer tedavi sonuçlarını araştırmak, tedavi sonuçlarını ortaya koymak, lazer tekniğinin daha modern ve diğer tedavi tekniklerinden daha sağlıklı, faydalı ola bileceğini kanıtlamaktır.
Gereç ve Yöntem: Merkezi Gömrük Hospitalı Kadın Hastalıkları ve Doğum bölümünde yaptığımız araştırmada servikal erozyon teşhisi konulan 26 kadın hasta incelenmeye alındı. 26 hastanın 24’ünde servikal erozyon, 2 hastada CIN I tanısı konulmuştur. Çalışma Ekim 2023-Ağustos 2024 tarihleri arasında lazer tedavisi gören hastaları kapsamaktadır.
Bulgular: Çalışmaya dahil edilen servikal erozyonu olan 26 hasta CO2 lazer ile tedavi olunmuştur. Tedavi sırasında CO2 lazer gücü 2,5-4 W aralığında uygulanmıştır. İşlem sonrasında 26 hastada bir hafta boyunca hafif vajinal akıntıları olmuş, CO2 lazer tedavisinden 4 hafta sonra kontrole çağırılmış, hastalardan 2-sinde (%8) servikal hiperemi izlenilmiştir. Diğer 24 hastanın (%92) serviksinde tam iyileşme kaydedilmiştir.
Sonuç: CO2 lazer poliklinikte kolay uygulanan, seans süresi kısa, güvenilir ve kabul edilebilir bir tedavi yöntemidir. Doğru ayarlanan seans sayı ve dozda uygulanan lazer tedavisi servikste, vajina duvarlarında hızlı hücre yenilenmesini, aynı zamanda kolay iyileşmeyi sağlar. CO2 lazer minimal invaziv, ağrısız, kolay uygulanabilmesi, yüksek etkinliği ve kısa seans süresi nedeniyle modern jinekolojide yaygın olarak kullanılmaktadır.
Anahtar Kelimeler
Kaynakça
- Sakhipova, G. Z., Abenova, N. A., Zhumabaeva, T. N., Seypenova, A. N., & Shamshaeva, D. O. (2020). Clinical experience in management of patients with cervical erosion and ectopia. Open Access Macedonian Journal of Medical Sciences, 8(B), 226-230.
- Strachan, G. I. (1925). The pathology and treatment of erosion of the cervix. The British Medical Journal, 743-745.
- Hoshi, K., Honda, S., Endo, C., Sato, A., & Sekimoto, S. (1993). Wound healing process in the portio vaginalis uteri after CO2-laser treatment. The Tohoku Journal of Experimental Medicine, 170(3), 135-146.
- Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2015: Diseases Characterized by Urethritis and Cervicitis. MMWR Recomm Rep 2015; 64(3). June 15, 2015. 51-53.
- Chamberlain G., “Gynecology by Ten teaches 16th edition”, 1995, pp. 84, 86, 95-98 and 124-126.
- Takacs P, Sipos AG, Kozma B, Cunningham TD, Larson K, Lampé R, et al. The effect of vaginal microablative fractional CO2 laser treatment on vaginal cytology. Lasers Surg Med. 2020; 52 (8):708–712. Doi: 10.1002/lsm.23211.
- Goldacre MJ, Loudon N, Watt B, Grant G, Loudon JD, mcpherson K, Vessey MP. Epidemiology and clinical significance of cervical erosion in women attending a family planning clinic. Br Med J. 1978 Mar 25; 1 (6115):748-50.
- Reich O, Regauer S, mccluggage WG, Bergeron C, Redman C. Defining the Cervical Transformation Zone and Squamocolumnar Junction: Can We Reach a Common Colposcopic and Histologic Definition? Int J Gynecol Pathol. 2017 Nov; 36 (6):517-522.
- Autier P, Coibion M, Huet F, Grivegnee AR. Transformation zone location and intraepithelial neoplasia of the cervix uteri. Br J Cancer. 1996 Aug; 74 (3):488-90.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Kadın Hastalıkları ve Doğum |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Ağustos 2025 |
| Gönderilme Tarihi | 12 Mart 2025 |
| Kabul Tarihi | 13 Nisan 2025 |
| Yayımlandığı Sayı | Yıl 2025Cilt: 64 Sayı: Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı) |
