广州医药
廣州醫藥
엄주의약
GUANGZHOU MEDICAL JOURNAL
2014年
5期
23-25
,共3页
宫保散%宫颈癌前病变%HPV 感染%LEEP 治疗
宮保散%宮頸癌前病變%HPV 感染%LEEP 治療
궁보산%궁경암전병변%HPV 감염%LEEP 치료
Kung powder%Cervical intraepithelial neoplasia%HPV infection%LEEP
目的：分析宫保散在临床治疗宫颈癌前病变（CIN）并发 HPV 感染的疗效及观察联合 LEEP 治疗宫颈癌前病变的临床疗效。方法选取于我院妇科门诊于2012年1月-2014年1月期间就诊的120例宫颈癌前病变并发 HPV 感染的患者。以数字法随机分成观察组（60例）和对照组（60例）。观察组施以宫保散局部外涂联合 LEEP技术治疗；对照组则单纯的施以宫保散局部外涂治疗。分析观察组治疗后的影响及对比两组的疗效。结果宫保散可提高 CINⅠ、CINⅡ、CIN3患者的转阴率：治疗转阴率分别为81.82％，41.94％及16.67％，且对 CINⅠ并发 HPV 感染转阴率疗效最佳；达81.82％；用药时间较长的治愈率较高：用药1～2及2～3及3～4个疗程的治愈率分别为65％，76.67％，85％；宫保散联合 LEEP 治疗对 CIN 并发 HPV 感染治疗疗效明显高于单纯的宫保散疗效：疗效分别为100％和91.67％。结论宫保散联合 LEEP 手术在治疗 CIN 并发 HPV 感染不仅治疗疗程及操作简单，病人依从性好，治疗创伤小而且费用低，临床效果肯定，不容易复发。大大提高了对 CIN 并发 HPV 感染的治疗效果。
目的：分析宮保散在臨床治療宮頸癌前病變（CIN）併髮 HPV 感染的療效及觀察聯閤 LEEP 治療宮頸癌前病變的臨床療效。方法選取于我院婦科門診于2012年1月-2014年1月期間就診的120例宮頸癌前病變併髮 HPV 感染的患者。以數字法隨機分成觀察組（60例）和對照組（60例）。觀察組施以宮保散跼部外塗聯閤 LEEP技術治療；對照組則單純的施以宮保散跼部外塗治療。分析觀察組治療後的影響及對比兩組的療效。結果宮保散可提高 CINⅠ、CINⅡ、CIN3患者的轉陰率：治療轉陰率分彆為81.82％，41.94％及16.67％，且對 CINⅠ併髮 HPV 感染轉陰率療效最佳；達81.82％；用藥時間較長的治愈率較高：用藥1～2及2～3及3～4箇療程的治愈率分彆為65％，76.67％，85％；宮保散聯閤 LEEP 治療對 CIN 併髮 HPV 感染治療療效明顯高于單純的宮保散療效：療效分彆為100％和91.67％。結論宮保散聯閤 LEEP 手術在治療 CIN 併髮 HPV 感染不僅治療療程及操作簡單，病人依從性好，治療創傷小而且費用低，臨床效果肯定，不容易複髮。大大提高瞭對 CIN 併髮 HPV 感染的治療效果。
목적：분석궁보산재림상치료궁경암전병변（CIN）병발 HPV 감염적료효급관찰연합 LEEP 치료궁경암전병변적림상료효。방법선취우아원부과문진우2012년1월-2014년1월기간취진적120례궁경암전병변병발 HPV 감염적환자。이수자법수궤분성관찰조（60례）화대조조（60례）。관찰조시이궁보산국부외도연합 LEEP기술치료；대조조칙단순적시이궁보산국부외도치료。분석관찰조치료후적영향급대비량조적료효。결과궁보산가제고 CINⅠ、CINⅡ、CIN3환자적전음솔：치료전음솔분별위81.82％，41.94％급16.67％，차대 CINⅠ병발 HPV 감염전음솔료효최가；체81.82％；용약시간교장적치유솔교고：용약1～2급2～3급3～4개료정적치유솔분별위65％，76.67％，85％；궁보산연합 LEEP 치료대 CIN 병발 HPV 감염치료료효명현고우단순적궁보산료효：료효분별위100％화91.67％。결론궁보산연합 LEEP 수술재치료 CIN 병발 HPV 감염불부치료료정급조작간단，병인의종성호，치료창상소이차비용저，림상효과긍정，불용역복발。대대제고료대 CIN 병발 HPV 감염적치료효과。
Objective The study is designed to evaluate the therapeutic effect of Kung powder as a clinical treatment for cervical intraepithelial neoplasia (aka.CIN)complicated with HPV infection and observe the influence on curative effect when Loop Electrosurgical Excision Procedure (aka.LEEP)is combined within the therapeutic regimens. Methods 1 20 ca-ses were selected from the patients who are diagnosed as CIN complicated with HPV infection in outpatient department of depart-ment of gynecology of our hospital during January 201 2 to January 201 4.Based on digital method,patients are randomly divided into two groups:observation group (60 cases)and control group (60 cases).In observer group we combined the external use of Kung powder with LEEP during treatment,while in control group patients were treated only with the external use of Kung powder.Then we analyzed and evaluated the therapeutic effect of both groups with a statistics analysis system. Results Kung powder is capable of improving the negative conversion rate of CIN Ⅰ,CIN Ⅱ,CIN3 patients,in which the negative conversion rate of CIN Ⅰ complicated with HPV infection rates the highest;Longer treatment period leads to higher cure rate:the cure rates of treatments lasting 1 -2,2-3 and 3-4 courses are 65%,76.67% and 85%;The treatment combining the external use of Kung powder with LEEP for CIN complicated with HPV infection (cure rate 1 00%)showed significantly more satisfying curative effect than the treatment using Kung powder externally along (cure rate 91 .67%). Conclusion Kung powder combining LEEP in the treatment regimen produces has easier operation,less trauma,lower costing,better clinical effect and less recurrence,which greatly improved the curative effect of CIN complicated with HPV infection.
