Esferolisis como tratamiento de las lesiones escamosas intraepiteliales de bajo grado del cuello del útero



Document title: Esferolisis como tratamiento de las lesiones escamosas intraepiteliales de bajo grado del cuello del útero
Journal: Revista de especialidades médico-quirúrgicas
Database: PERIÓDICA
System number: 000349523
ISSN: 1665-7330
Authors: 1
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Institutions: 1Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional Lic. Adolfo López Mateos, México, Distrito Federal. México
Year:
Volumen: 17
Number: 1
Pages: 20-23
Country: México
Language: Español
Document type: Artículo
Approach: Caso clínico
Spanish abstract observó que en algunas lesiones se conjunta más de un factor de riesgo, como tabaquismo, ingestión de esteroides, número de parejas sexuales, inicio de la vida sexual antes de los 18 años, diabetes mellitus, virus de la inmunodeficiencia humana y lupus eritematoso sistémico
English abstract Infection by the human papillomavirus (HPV) infection is the most common sexually transmitted, affecting individuals between 15 and 49 years of age and is prevalent in less developed regions. 1% of sexually active people suffer an injury clinic for HPV at some point in their lives. Factors related to the injury caused by the virus or the persistence of it are those in which there is a deficiency activates cellular immunity, as in the case of women with lupus erythematosus who take corticosteroids or who have a history of transplantation and smoking, among others. Treatment depends on the morphology, number and distribution of lesions. Objective: To propose as a therapeutic method to treat the esferolisis with high efficiency, low cost and minimal morbidity, squamous intraepithelial lesions of low grade cervical. Material and methods: The study was performed at the Regional Hospital of Colposcopy Adolfo Lopez Mateos ISSSTE, from 2003 to 2007, and included 363 patients diagnosed with cervical squamous intraepithelial lesions of low grade, confirmed by smear, colposcopy and handled esferolisis biopsy (removal of the transformation zone), radio frequency and followed for one year. The risk factors identified in the patient group with persistence were: disease human immunodeficiency virus (HIV), diabetes mellitus and lupus erythematosus. Results: We found a total remission of the squamous intraepithelial lesion low grade in 352 patients (96.9%), with one year follow up, and persistence in 11 women (3.1%). There were no postoperative complications during follow-up special. Conclusions: Monitoring the immunological factor has an important role in the persistence of the lesions, because when analyzing the results showed that in some joint injuries more than one risk factor such as smoking, steroid intake, number of sexual partners, onset of sexual activity before age 18, diabetes mellitus, human immunodeficiency virus and systemic lupus erythematosus
Disciplines: Medicina
Keyword: Cirugía,
Ginecología y obstetricia,
Inmunología,
Papilomavirus,
Lesiones escamosas,
Cérvix,
Ablación,
Factores de riesgo
Keyword: Medicine,
Gynecology and obstetrics,
Surgery,
Immunology,
Papillomavirus,
Squamous lesions,
Cervix,
Ablation,
Risk factors
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