Sartor V, Spairani L, Gini A, Delpiano C
Divisione di Ostetricia e Ginecologia, Regione Lombardia, USSL n. 67, Ospedale Santa Corona, Garbagnate Milanese, Milano.
Minerva Ginecol. 1993 Jun;45(6):321-5.
From May 1990 to April 1992 we used intramuscular beta-interferon to treat 17 patients with CIN associated with HPV virus (9 cases CIN1 and 8 cases CIN2) and 10 patients with genital condylomas without CIN. The dosage employed was 3.000.000 IU/daily/7 days and every other day for a further 14 days. All patients were followed up at 1,3 and 6 months and some for longer. Complete cyto histological resolution of CIN was achieved in 58% of patients: however the HPV remain cytologically present in 64% of cases. The data presented are encouraging though they confirm that it is difficult to completely eradicated the genital HPV. In patients with genital condyloma the condition persisted in 66% of patients receiving only medical treatment, whereas in those treated with beta-interferon and dyatermocoagulation the recurrence rate was 28%.
1990年5月至1992年4月,我们使用肌肉注射β-干扰素治疗17例与HPV病毒相关的CIN患者(9例CIN1和8例CIN2)以及10例无CIN的生殖器尖锐湿疣患者。采用的剂量为每日300万国际单位,连用7天,之后隔日给药,再持续14天。所有患者在1、3和6个月时进行随访,部分患者随访时间更长。58%的患者实现了CIN的细胞组织学完全消退;然而,64%的病例中HPV在细胞学上仍然存在。尽管这些数据证实完全根除生殖器HPV很困难,但仍令人鼓舞。在生殖器尖锐湿疣患者中,仅接受药物治疗的患者66%病情持续存在,而接受β-干扰素和电热凝治疗的患者复发率为28%。