ARCHIVEOBSTETRICS AND GYNECOLOGY
International Medical Journal, Vol. 20., Iss. 1, 2014, P. 56−60.
MEDICATION AND PHYSIOTHERAPY FOR INFLAMMATORY CERVICAL PATHOLOGY OF IN WOMEN OF REPRODUCTIVE AGE
Ukrainian Research Institute of Transport Medicine, Odessa
Complex medication and physiotherapy for inflammatory diseases of the uterine cervix (exo− and endocerviscitis, erosion, stage 1 dysplasia) was performed in 80 women of reproductive age (main group) using the original treatment protocol. The controls were 40 women who were given standard treatment for this pathology. All patients were performed microscopic, cytomorphological, bacteriological investigations of urogenical secretion, polymerase chain reaction for urogental infections, colposcopy. The investigation revealed grade 3 and 4 of cleanliness of the vaginal flora, the existence of microbe association in 80 patients (88.89%), association with virus infection (herpes or human papillomavirus) in 30 (30.0 %). Colposcopy demonstrated prevailing benign (70%) and pretumour (10%) zone of epithelium transformation, papillary dysplasia (35 %), dysplasia fields (43 %), simple (46 %) and proliferative (546%) leukoplakia. The proposed complex medication and physiotherapy treatment of cervix pathology included staged treatment of vaginal and cervical mucosa with 3 % solution of hydrogen peroxide and solution of cyteal followed by introduction into the canal of tampon with octenisept, influence of magnetolaser ray (amplitude −− 4−5 µm, frequency of modulation 37.5Hz, time of exposition from 5 to 10 min), introduction of vaginal tampons with buckthorn oil and antifungal ointment (7−10 sessions). Clinical effect of the recommended therapy was observed in 45 patients of the main group, which was proved by disappearance of complaints, improved colposcopy findings and normalization of vagina microbiocenosis on day 7 after the beginning of the treatment. Thirty percent of the controls had subjective and objective signs of the pathological process. The proposed protocol seems promising and needs more thorough investigation.
Key words: vagina dysbiosis, cervix, magnetolaser, exo− and endocervicitis, cervical erosion.