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重组人干扰素α-2b联合LEEP术治疗有症状的宫颈柱状上皮异位疗效观察
Clinical Evaluation of Recombinant Human Interferon Alpha 2b Combined with LEEP in the Treatment of Cervical Ectopic Columnar Epithelium with Chronic Cervicitis
投稿时间:2014-11-11  修订日期:2015-01-20
DOI:
中文关键词:  宫颈柱状上皮异位  重组人干扰素α 2b  子宫颈电热圈环切术
英文关键词:Cervical ectopic columnar epithelium  Recombinant human interferon alpha 2b  Loop electrosurgical excision procedure
基金项目:
作者单位
钱培英 湖州市双林人民医院妇产科 浙江湖州 313012 
余深锁 湖州市中心医院妇产科 
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中文摘要:
      摘 要 目的: 探讨重组人干扰素α 2b联合子宫颈电热圈环切术 (LEEP)治疗有症状的宫颈柱状上皮异位的临床疗效。方法: 对我院2012年4月~2014年4月行LEEP术治疗的68例有症状的宫颈柱状上皮异位患者的病历资料进行回顾性分析,其中对照组30例单纯行LEEP术治疗,并于术后常规口服抗菌药5 d预防感染;观察组38例在对照组基础上给予重组人干扰素α 2b栓10万IU阴道放置,隔日1次,10 d为1个疗程,每月于月经干净后使用2个疗程,6个疗程后观察两组患者临床疗效、阴道出血时间、阴道排液持续时间、创面愈合时间及治疗前后HPV持续感染率。结果:对照组治愈率66.67%,观察组治愈率为92.11%,差异有统计学意义(P<0.05);对照组创面愈合19例(63.33%),观察组创面愈合32例(84.21%),差异有统计学意义(P<0.05),且观察组阴道出血时间、阴道排液持续时间、创面愈合时间均显著短于对照组(P<0.05)。治疗后,对照组HPV持续感染率为16.67%;治疗组HPV持续感染率为0,差异有统计学意义(P<0.05)。两组患者治疗过程中均未见明显药品不良反应。结论: 重组人干扰素α 2b联合LEEP术治疗有症状的宫颈柱状上皮异位安全有效,可有效缩短创面愈合时间、阴道出血时间、阴道排液持续时间,值得在临床上推广使用。
英文摘要:
      ABSTRACT Objective: To investigate the clinical efficacy of recombinant human interferon alpha 2b combined with Loop electrosugical excision procedure(LEEP) in the treatment of cervical ectopic columnar epithelium with chronic cervicitis.Methods: The medical records of 68 cases of cervical ectopic columnar epithelium with chronic cervicitis in our hospital from April 2012 to April 2014 treated with LEEP were analyzed retrospectively. The control group (30 cases) was treated with LEEP combined with 5 day postoperative oral administration of antibiotics to prevent infection, and the treatment group (38 cases) was given recombinant human interferon alpha 2b through vagina additionally, every other day for 20 days every month after menstrua. After 6 courses of treatment, the clinical efficacy, vaginal bleeding time, vaginal discharge duration, wound healing time and HPV persistent infection were compared between the two groups.Results: The cure rate of the control group was 66.67%, while that of the treatment group was 92.11%, and the difference was significant (P<0.05). Totally 19 cases in the control group were with wound healing (accounted for 63.33%), while that in the treatment group was 32 cases (accounted for 84.21%), the difference was significant(P<0.05).And the vaginal bleeding time, vaginal discharge duration, and wound healing time of the treatment group were all significantly shorter than those of the control group (P<0.05). After the treatment, the HPV persistent infection rate in the control group was 16.67%, while that in the treatment group was 0%, and the difference was statistically significant (P<0.05). The two groups during the treatment process had no obvious adverse reactions, indicating high drug safety.Conclusion:Recombinant human interferon alpha 2b combined with LEEP in the treatment of cervical ectopic columnar epithelium is safe and effective, which can effectively shorten the wound healing time, vaginal bleeding time and vaginal discharge duration, and is worthy of promotion in clinics.
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