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二氧化碳激光手术治疗鳞状上皮内病变的疗效。临床及病毒学结果分析。

Efficacy of CO2 laser surgery in treating squamous intraepithelial lesions. An analysis of clinical and virologic results.

作者信息

Sesti F, De Santis L, Farné C, Mantenuto L, Piccione E

机构信息

Department of Obstetrics and Gynecology, Tor Vergata University of Rome, Italy.

出版信息

J Reprod Med. 1994 Jun;39(6):441-4.

PMID:7932396
Abstract

This paper reports the clinical and virologic results of CO2 laser treatment for squamous intraepithelial lesions in 154 patients. On the basis of cervical canal involvement, vaporization or conization was performed. Failure rates following the first and second treatments were 4.5% and 0%, respectively. However, human papillomavirus persistence in several women with completely normal follow-up suggests that one of the possible mechanisms of failure could be reexposure of the healing area to a viral reservoir within the "normal" epithelium.

摘要

本文报告了154例鳞状上皮内病变患者接受二氧化碳激光治疗的临床和病毒学结果。根据宫颈管受累情况,进行汽化或锥切术。首次治疗和第二次治疗后的失败率分别为4.5%和0%。然而,在随访完全正常的几名女性中,人乳头瘤病毒持续存在,这表明失败的一种可能机制可能是愈合区域再次暴露于“正常”上皮内的病毒储存库。

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引用本文的文献

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Patterns of persistent HPV infection after treatment for cervical intraepithelial neoplasia (CIN): A systematic review.宫颈上皮内瘤变(CIN)治疗后持续性人乳头瘤病毒(HPV)感染模式:一项系统综述
Int J Cancer. 2017 Jul 1;141(1):8-23. doi: 10.1002/ijc.30623. Epub 2017 Feb 27.
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The incidence of human papillomavirus infection following treatment for cervical neoplasia: a systematic review.宫颈肿瘤治疗后 HPV 感染的发生率:系统评价。
Gynecol Oncol. 2014 Mar;132(3):767-79. doi: 10.1016/j.ygyno.2013.12.040. Epub 2014 Jan 7.
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Efficacy in treatment of subclinical cervical HPV infection without intraepithelial neoplasia: systematic review.
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Sao Paulo Med J. 2000 Jul 6;118(4):109-15. doi: 10.1590/s1516-31802000000400007.