Luciano CE, López VJL, Trejo SO

Language: Spanish
References: 10
Page: 1-7
PDF size: 329.62 Kb.

ABSTRACT

Introduction: The pathology cervical (cervix) remains a public health problem in Mexico, so the prevention, detection, diagnosis, treatment and epidemiological monitoring should be the most effective way to reduce the morbidity and mortality of this disease. Currently one of the treatments for low grade lesions is esferolisis and for high grade is the diathermic loop, so it was decided to combine them and see their effectiveness in the short and long term.
Objective: Evaluate the effectiveness of the combination of cervical conization in 60 additional esferolísis patients undergoing this treatment.
Material and methods: From January 2007 to June 2009, we conducted a retrospective, descriptive, observational Hospital "Adolfo Lopez Mateos" ISSSTE, in patients undergoing cervical conization with diathermic loop and esferolísis order to, mitigate the bleeding and extending the scope safety of the surgical bed were followed every 3 months for 2 years.
Results. The predominant age of the study was 31 to 40 years, with 23 patients (38.3%). The secretaries were most subject to cone, with 19 cases (31.6%). Bleeding was reported post-cone (1.6%), 11 cases had edges + (18.3%). The sensitivity of colposcopy was 51%, vs 49% for cytology and a specificity of 75% vs 46%, respectively. Definitive diagnosis (posttratamientoo) was: 30 patients (50%) with HSIL, 24 (40% ) with LSIL, 2 cases (3.3%) without disease, 2 cases (3.3%) with glandular eversion and 2 with adenocarcinoma (3.3%). The therapeutic effectiveness at 6 and 9 months was 96.4% for HSIL and 91% for LSIL, reaching definitive cure after 12 months of control.
Conclusions: It was found that this combination therapy improves prognosis of cervical lesions of high and low, with low morbidity and recurrence.

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