Minorchio E, Bianco V, Corso F
Cattedra di Patologia Ostetrica e Ginecologica, Università degli Studi di Milano.
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):388-92.
This paper evaluates the common practice of a topic medical treatment following cautery (or other kinds of microsurgery) of the uterine cervix. Firstly, a controlled clinical trial on 116 patients treated with kanamycin sulphate alternated to polydeoxyribonucleotide vaginal suppositories, and 124 controls has been conducted. Subjective parameters (leukorrhea, bloody discharge, odorous discharge, more than three weeks vaginal discharge, itching, pain, burning) and colposcopy (Schiller test reactivity, squamo-columnar junction location, abnormal transformation zones, vascular striae, deepithelialized areas or frail epithelium) appeared more favorable in the treated group, the colposcopic finding of phlogosis being the only unfavorable finding more frequent among the treated patients. Successively, a controlled double blind clinical trial with kanamycin sulphate alternated to placebo vs PDRN at different dosages has shown an increase in number of epithelial cells in the treated patients and a better stimulation of fibroblasts by higher dosages of active substance. These results show the efficacy of the studied post cautery treatment schedule, and of PDRN in particular.
本文评估了子宫颈烧灼术(或其他类型的显微手术)后进行主题药物治疗的常见做法。首先,对116例接受硫酸卡那霉素交替使用聚脱氧核糖核苷酸阴道栓剂治疗的患者和124例对照患者进行了一项对照临床试验。主观参数(白带、血性分泌物、有异味的分泌物、超过三周的阴道分泌物、瘙痒、疼痛、烧灼感)和阴道镜检查(席勒试验反应性、鳞柱交界位置、异常转化区、血管条纹、上皮脱失区域或脆弱上皮)在治疗组中表现更为有利,治疗患者中唯一更频繁出现的不利发现是阴道镜检查发现的炎症。随后,一项对照双盲临床试验,将硫酸卡那霉素与安慰剂交替使用,与不同剂量的PDRN进行比较,结果显示治疗患者的上皮细胞数量增加,且较高剂量的活性物质对成纤维细胞有更好的刺激作用。这些结果表明了所研究的烧灼术后治疗方案的有效性,尤其是PDRN的有效性。