【多脱氧核糖核苷酸局部治疗在烧灼后修复过程中的优势:某生殖器肿瘤早期诊断中心的经验】。

E Minorchio, V Bianco, F Corso
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摘要

本文评估了烧灼(或其他类型的显微手术)子宫颈后主题医学治疗的常见做法。首先,对116例硫酸卡那霉素与多脱氧核糖核苷酸阴道栓剂交替治疗的患者进行对照临床试验,对照124例。主观参数(白带、带血分泌物、恶臭分泌物、超过三周的阴道分泌物、瘙痒、疼痛、灼烧)和阴道镜检查(席勒试验反应性、鳞状-柱状交界处位置、异常转化区、血管纹、深部上皮或脆弱)在治疗组中更为有利,阴道镜检查发现的炎症是治疗组中唯一更常见的不良发现。随后,一项对照双盲临床试验显示,不同剂量的硫酸卡那霉素与安慰剂和PDRN交替使用,治疗患者的上皮细胞数量增加,高剂量的活性物质对成纤维细胞的刺激更好。这些结果表明了所研究的烧灼后治疗方案的有效性,特别是PDRN。
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[Advantages of topical therapy with polydeoxyribonucleotide in reparative processes after cauterization: experience at a center for early diagnosis of genital neoplasms].

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.

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