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[女性下生殖道的人乳头瘤病毒感染。β-干扰素治疗的结果]

[HPV infections in the lower genital tract in the female. Results of beta-interferon treatment].

作者信息

Pungetti D, Calderara M A, Vicini G, Selleri M C, Spadaro F, Zanardi E

机构信息

II Divisione Ostetrico-Ginecologica, Ospedale Maggiore, Bologna.

出版信息

Minerva Ginecol. 1991 Oct;43(10):469-74.

PMID:1662788
Abstract

The Authors have analyzed the results obtained by treating 60 patients affected by HPV lesions of the lower female genital tract (flat vulvar, vaginal and cervical condylomatosis) with beta-interferon. At vulvovaginal level, the action of the drug is independent from the colposcopic aspect of the lesion but is closely correlated to its extension. The drug proved to be more efficacious at cervical level in case of condylomatous cervicitis rather than ANTZ with a reduction in the size of the lesion and disappearance, if present, of the dysplasia. The positive action of the beta-interferon has never occurred before 2-6 months from the end of the farmacologic treatment. The best results have been obtained in case of condylomatous cervicitis with complete remission in 58% of the cases, and in vaginal condylomatosis (CR at 6 months: 45%). On the basis of these results we may conclude that in these HPV lesions priority should be given to medical treatment whereas in vulvar condylomatosis (especially if extended greater than 1/3) where results are not very satisfactory (not more than 20% of CR) physical therapy is advisable.

摘要

作者分析了用β-干扰素治疗60例患有女性下生殖道HPV病变(扁平外阴、阴道和宫颈湿疣)的患者所获得的结果。在 vulvovaginal 水平,药物的作用与病变的阴道镜表现无关,但与其范围密切相关。在湿疣性宫颈炎的情况下,该药物在宫颈水平比 ANTZ 更有效,可使病变大小缩小,如有发育异常则消失。β-干扰素的积极作用在药物治疗结束后2至6个月之前从未出现过。在湿疣性宫颈炎的情况下取得了最佳结果,58%的病例完全缓解,在阴道湿疣(6个月时CR:45%)中也是如此。基于这些结果,我们可以得出结论,在这些HPV病变中,应优先进行药物治疗,而在外阴湿疣(特别是如果范围大于1/3)中,由于结果不太令人满意(CR不超过20%),建议采用物理治疗。

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