Milla Villeda R H, Gurrola Medrano T
Clínica de Colposcopia Privada, Facultad de Medicina, Universidad Juárez del Estado de Durango.
Ginecol Obstet Mex. 1995 Jul;63:293-6.
Multiple modalities of treatment have been employed since cervical subclinical papillomavirus (SPI) were discovered, with various degrees of success. The objective of this report is to assess the efficacy of the removal of cervical SPI by mean of LEEP in office conization. During the period from January 1992 and December 1993, 49 patients with histologically proven HPV infection were treated at the Private Colposcopic Clinic with LEEP. Patients ages ranged from 20 to 49 years old with average 36.1 years, mostly were parous woman. Satisfactory specimens suitable for histologic examination was obtained and in all cases margins of excisions appeared histologically clear of HPV infections patients discomfort was none or minimal in 45 patients (91.8%) and moderate in 4 (8.1%). There were 5 cases (10.2%) of postoperative haemorrhage and 3 cases (6.1%) of minimal cervical infections. The mean base of cone biopsy was 1.43 cm, and ranged from 1.0 to 3.0 cm. The overall cure rate of LEEP was 98% because there was only one confirmed case of treatment failures by loop conization. We concluded that this term results are satisfactory.
自从发现宫颈亚临床乳头瘤病毒(SPI)以来,人们采用了多种治疗方式,取得了不同程度的成功。本报告的目的是评估在门诊锥切术中通过利普刀切除宫颈SPI的疗效。在1992年1月至1993年12月期间,49例经组织学证实为HPV感染的患者在私立阴道镜诊所接受了利普刀治疗。患者年龄在20至49岁之间,平均36.1岁,大多数为经产妇。获得了适合组织学检查的满意标本,在所有病例中,切除边缘在组织学上均未发现HPV感染。45例患者(91.8%)无不适或仅有轻微不适,4例患者(8.1%)有中度不适。术后出血5例(10.2%),轻度宫颈感染3例(6.1%)。锥形活检的平均基底为1.43厘米,范围为1.0至3.0厘米。利普刀的总体治愈率为98%,因为通过环形锥切术仅确诊1例治疗失败病例。我们得出结论,这些短期结果是令人满意的。