Гинекология (Feb 2016)
Clinical and immunological assessment of the state of the cervix after radiosurgical conization and medical prophylaxis of septic complications
Abstract
Purpose of the study. Comprehensive assessment of the clinical and immunological changes in cervical epithelium and the vaginal microbiota in patients with cervical intraepithelial neoplasia (CIN) II-III stage after radiosurgical conization and the drug Neo-Penotran Forte L.Materials and methods. The study included 2 groups of sexually active women (n=143) aged 21 to 45 years (mean age - 34.5±6.5 years). They were examined for the presence of genital infections and vector-borne, liquid-based cytology, colposcopy. All patients were treated with radiosurgery method in the amount of conization.Results. Patients treated in the pre - and postoperative period with Neo-Forte Penotran A, were found to have a marked reduction of proinflammatory and anti-inflammatory cytokines increase. Median values analysis has allowed to ascertain the prevalence ofinterleukin indicators (IL)-1a and IL-b in the 2nd group over those in the 1st, when U (Mann-Whitney test)=5.9 and U=7.5, respectively, those p