A rehabilitation of women is after plastic operations on cervix

Abstract

DOI: 10.52705/2788-6190-2026-01-7
УДК 618.146-089.844-089.168.1-036.82

The objective: to develop and inculcate the complex of rehabilitation measures for women after plastic operations on the cervix.
Materials and methods. For achievement of the put purpose 104 women are inspected in age from 20 to 30 years with nonspecific chronic cervicitis on a background post-traumatic deformation of cervix. Instrumental inspection of cervix: a review of cervix is in speculum, simple and extended colposcopy, cytological research, polymerase chain reaction. At morphological research of tissue of cervix found out signs and depth of distribution of inflammatory process in tissue of cervix and content of histamine at cervical mucus. A certificate to the conduct of operation served as a presence for the patients of post-traumatic deformation of сervix of any degree. Operations executed in the planned order after complete clinical-andlaboratory and instrumental inspection. A hysterotracheloplasty was produced by the method of a stage stratification. Advantage of this method was gradual layer renewal of anatomic integrity of cervical canal. There were the included methods of the use of acupuncture and laser therapy to the complex of rehabilitation measures.
Results. In a 1 group (30 women with distribution of inflammatory process only on the epithelium of mucus shell of cervix by the moderate increase of level of histamine in the mucus secret of cervical canal, in treatment of which, acupuncture was used only) the reliable decline of concentration of histamine happened on 61,58 %. In 2 groups to the sub-group and (30 women with distribution of inflammatory process deeply on the submucous layer of cervix by the expressed increase of concentration of histamine in a cervical secret, in which for treatment of nonspecific chronic cervicitis also used only acupuncture) on 64,60 %. In 2 groups to the subgroup (34 women with localization of inflammatory process deeply in the submucous layer of cervix by the expressed increase of concentration of histamine in the mucus secret of cervical canal, in which for treatment of nonspecific chronic cervicitis acupuncture was used with the subsequent joining at the beginning of the third month of the modified method of laser therapy) on 74,19 %.
Presence of predictor risk of development of chronic persistent cervicitis is a certificate for setting of acupuncture in an early postoperative period with the subsequent use of the modified method of laser therapy in accordance with the developed charts. Successive use of acupuncture and laser therapy, considerably promote efficiency of treatment and diminish authenticity of origin of chronic persistent cervicitis for patients those which are in the group of risk.
Conclusions. Efficiency of treatment of chronic cervicitis with distribution of inflammatory process on the submucous layer of cervix by the expressed increase of level of histamine in the mucus secret of cervical canal during three months is 63% the method of acupuncture (p < 0,01). Presence of criteria of development of persistent chronic cervicitis, is a certificate for setting of acupuncture in an early postoperative period, with the subsequent use of the modified method of laser therapy. Efficiency of the general use of acupuncture and laser therapy is 94 % (p < 0,01).