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在采用宫颈环形电切术(t-LEEP)后,高危型人乳头瘤病毒清除得更快。

The Clearance of High-Risk Human Papillomavirus is Sooner After Thin Loop Electrosurgical Excision Procedure (t-LEEP).

作者信息

Zhang Wenying, Gong Xiaodi, Wu Qiongwei, Liu Yu, Lao Guoying, Xiao Jinyin, Yang Longtao, Liu Ping, Ma Chengbin

机构信息

Department of Gynecology, Changning Maternity and Infant Health Hospital, Shanghai, China.

出版信息

J Invest Surg. 2019 Sep;32(6):560-565. doi: 10.1080/08941939.2018.1483449. Epub 2018 Sep 13.

Abstract

: To investigate high-risk human papillomavirus (HPV) infection clearance following thin loop electrosurgical excision procedure (t-LEEP) among patients with cervical benign lesion. : This retrospective study analyzed clinical data from patients with cervical benign lesion and HPV infection, who had undergone t-LEEP (T-Group), compared with patients with HPV infection undergone no treatment (NT-Group). Both groups attended regular follow-up between January 2008 and January 2012. Kaplan-Meier analysis was used to compare the HPV clearance time. : The average clearance time was 7.7 months (M) (95% confidence interval [CI]: 6.5-8.9 M) in T-Group, and 10.4 M (95%CI: 9.4-11.3 M) in NT-Group, with significant difference between groups ( = 0.003). Among patients with low viral load, the HPV clearance times were 7.6 M (95%CI: 6.3-9.0 M) in T-Group and 9.7 M (95%CI: 8.6-10.8 M) in NT-Group ( = 0.042). Among patients with high viral load, the HPV clearance times were 8.0 M (95%CI: 5.3-10.6 M) in T-Group and 11.4 M (95%CI: 9.7-13.1 M) in NT-Group ( = 0.041). The average time of HPV clearance in T-Group was shorter than NT-Group in all age groups, with significant differences in ≤29Y-group ( = 0.008) and 30-39Y-group ( = 0.005). The accumulated clearance rate of HPV infection at sixth month and 12th month were 24.5% and 67.9% in T-Group, 7.8% and 43.1% in NT-Group, with significant differences ( = 0.001 at 6th month,  = 0.032 at 12th month). : T-LEEP accelerates the clearance of high-risk HPV infection and make the HPV infection rates dropped rapidly in the first year.

摘要

目的

探讨宫颈良性病变患者行宫颈环形电切术(t-LEEP)后高危型人乳头瘤病毒(HPV)感染的清除情况。

方法

本回顾性研究分析了2008年1月至2012年1月期间接受t-LEEP的宫颈良性病变合并HPV感染患者(T组)的临床资料,并与未接受治疗的HPV感染患者(NT组)进行比较。两组患者均定期随访。采用Kaplan-Meier分析比较HPV清除时间。

结果

T组HPV平均清除时间为7.7个月(95%置信区间[CI]:6.5-8.9个月),NT组为10.4个月(95%CI:9.4-11.3个月),两组间差异有统计学意义(P=0.003)。病毒载量低的患者中,T组HPV清除时间为7.6个月(95%CI:6.3-9.0个月),NT组为9.7个月(95%CI:8.6-10.8个月)(P=0.042)。病毒载量高的患者中,T组HPV清除时间为8.0个月(95%CI:5.3-10.6个月),NT组为11.4个月(95%CI:9.7-13.1个月)(P=0.041)。T组各年龄组HPV平均清除时间均短于NT组,≤29岁组(P=0.008)和30-39岁组(P=0.005)差异有统计学意义。T组6个月和12个月时HPV感染累积清除率分别为24.5%和67.9%,NT组分别为7.8%和43.1%,差异有统计学意义(6个月时P=0.001,12个月时P=0.032)。

结论

t-LEEP可加速高危型HPV感染的清除,使HPV感染率在第1年迅速下降。

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