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[聚脱氧核糖核苷酸局部治疗在烧灼术后修复过程中的优势:生殖器肿瘤早期诊断中心的经验]

[Advantages of topical therapy with polydeoxyribonucleotide in reparative processes after cauterization: experience at a center for early diagnosis of genital neoplasms].

作者信息

Minorchio E, Bianco V, Corso F

机构信息

Cattedra di Patologia Ostetrica e Ginecologica, Università degli Studi di Milano.

出版信息

Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):388-92.

PMID:2102066
Abstract

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.

摘要

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。

相似文献

1
[Advantages of topical therapy with polydeoxyribonucleotide in reparative processes after cauterization: experience at a center for early diagnosis of genital neoplasms].[聚脱氧核糖核苷酸局部治疗在烧灼术后修复过程中的优势:生殖器肿瘤早期诊断中心的经验]
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):388-92.
2
[Effectiveness of a topical medical treatment following diathermic coagulation: controlled clinical study].[透热凝固术后局部药物治疗的有效性:对照临床研究]
Ann Ostet Ginecol Med Perinat. 1989 Sep-Oct;110(5):255-9.
3
A non-hormonal therapeutic alternative in cervico-vaginal dystrophies.一种用于宫颈阴道营养不良的非激素治疗选择。
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):393-9.
4
[Clinico-morphological changes in ectropion after treatment with polydeoxyribonucleotide (PDRN)].[聚脱氧核糖核苷酸(PDRN)治疗后睑外翻的临床形态学变化]
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):379-87.
5
The pharmacologic therapy of post-cauterization and post-laser vaporization with polydeoxyribonucleotide.
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):372-8.
6
[Computerized evaluation of reparative processes of the cervix uteri].[子宫颈修复过程的计算机化评估]
Ann Ostet Ginecol Med Perinat. 1990 Nov-Dec;111(6):364-71.
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[Topical therapy with placental polydeoxyribonucleotide in cervical ectopy and ectropion].[胎盘多聚脱氧核糖核苷酸局部治疗宫颈异位和外翻]
Ann Ostet Ginecol Med Perinat. 1989 Jan-Feb;110(1):35-41.
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Clinical evaluation of the trophic effect of polydeoxyribonucleotide (PDRN) in patients undergoing skin explants. A Pilot Study.聚脱氧核糖核苷酸(PDRN)对接受皮肤移植患者的营养作用的临床评估。一项初步研究。
Curr Med Res Opin. 2001;17(2):128-31.
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[Management of cervico-vaginal dystrophies].[宫颈阴道营养不良的管理]
Minerva Ginecol. 1991 Apr;43(4):185-90.
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Ineffectiveness of topical benzocaine spray during colposcopy.
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