Clinical Experience in Management of Patients with Cervical Erosion and Ectopia

  • Gulnara Zhetebaevna Sakhipova General Medical Practice, Course of Communication Skills, West Kazakhstan Medical University Named After Marat Ospanov, Aktobe 030019, Kazakhstan
  • Nurgul Abdullaevna Abenova General Medical Practice, Course of Communication Skills, West Kazakhstan Medical University Named After Marat Ospanov, Aktobe 030019, Kazakhstan
  • Tlesh Nabievna Zhumabaeva General Medical Practice, Course of Communication Skills, West Kazakhstan Medical University Named After Marat Ospanov, Aktobe 030019, Kazakhstan
  • Aniya Nurmakhanbetovna Seypenova General Medical Practice, Course of Communication Skills, West Kazakhstan Medical University Named After Marat Ospanov, Aktobe 030019, Kazakhstan
  • Dina Orynbasarovna Shamshaeva General Medical Practice, Course of Communication Skills, West Kazakhstan Medical University Named After Marat Ospanov, Aktobe 030019, Kazakhstan
Keywords: cervical erosion, HPV16-18, colposcopy, Bethesda scale

Abstract

PURPOSE OF RESEARCH: The main objective of the study was to analyze the results of treatment of patients with cervical erosion and ectopia without surgical treatment.

MATERIALS AND METHODS: To this end, a complete clinical examination of women with cervical erosion and ectopia was carried out: A smear for oncocytology, PCR for HPV 16–18, herpes simplex virus, chlamydia, colposcopy extended, and bacteriological study to identify the vaginal microflora. As a result of examinations, 30% of women without specific symptoms and complaints were diagnosed with cervical ectopia and assigned to the first group (practically healthy women). About 68% of women were assigned to the second group – with cervical erosion, who need conservative treatment, 2% – to the third group – women with invasive cervical cancer, who were sent to the oncology center. About 82% of L-SIL developed against the background of infection with highly oncogenic types of HPV, most often HPV 16, with 30% of them infected with more than 1 type of HPV. To eliminate concomitant inflammation of the cervix and vagina, hexicon was used in this group. After the rehabilitation of the vagina and cervix, the next step was to connect the drug depantol.

RESULTS: The use of hexicon and depantol in the treatment of cervical erosion led to the regeneration of the defect of the cervical vaginal mucosa, bypassing the surgical treatment of cervical erosion.

THE NOVELTY OF THE RESEARCH: As a result of the treatment of uncomplicated ectopia, there was no need to apply a surgical method of treatment in connection with the healing of ectopia.

PRACTICAL APPLICATION OF THE STUDY: Such an approach to the treatment of women with cervical erosion among obstetrician-gynecologists would lead to the prevention of relapse and improve the quality of life of patients. After treating the cervix with solkovagin, healthy tissues begin to recover under these dead tissues, which in the process completely replace patients without scarring on the cervix.

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Published
2020-04-27
How to Cite
1.
Sakhipova GZ, Abenova NA, Zhumabaeva TN, Seypenova AN, Shamshaeva DO. Clinical Experience in Management of Patients with Cervical Erosion and Ectopia. Open Access Maced J Med Sci [Internet]. 2020Apr.27 [cited 2020Oct.31];8(B):226-30. Available from: https://www.id-press.eu/mjms/article/view/3909
Section
Gynecology and Obstetrics