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活性己糖相关化合物作为辅助剂在减少尖锐湿疣烧灼术后复发中的疗效评估。

Evaluation of the Efficacy of Active Hexose Correlated Compound as an Adjuvant in Reducing Recurrence After Condyloma Cauterization.

作者信息

Atlihan Ufuk, Yavuz Onur, Ata Can, Avsar Huseyin Aytug, Bildaci Tevfik Berk, Ozay Ali Cenk, Ersak Burak, Solmaz Ulas, Erkilinc Selcuk

机构信息

Manisa Merkezefendi State Hospital, Manisa 45010, Turkey.

Faculty of Medicine, Dokuz Eylul University, Izmir 35020, Turkey.

出版信息

Medicina (Kaunas). 2025 Mar 28;61(4):622. doi: 10.3390/medicina61040622.

Abstract

: Human papillomavirus (HPV) is one of the most prevalent sexually transmitted illnesses. HPV is responsible for genital condyloma lesions. A durable and effective systemic treatment regimen has not been established for HPV-related infections. In the present study, our purpose was to evaluate the role of active hexose correlated compound (AHCC) in preventing relapse in patients who underwent cauterization for condyloma accuminata. : A total of 244 individuals admitted to our hospital between January 2019 and June 2022 were diagnosed as having condyloma acuminata, and those who underwent condyloma cauterization were evaluated retrospectively. We included 133 individuals who met the criteria. Patients who received AHCC were scheduled for follow-up examinations at regular intervals every three months. Patients were divided into two groups and analyzed based on whether they did or did not use AHCC. : The average age of AHCC non-users was significantly greater than that of AHCC users ( < 0.01). The number of condylomas and the maximum condyloma diameter of AHCC users before treatment were found to be significantly higher than in AHCC non-users ( = 0.006 and = 0.004, respectively). Among participants with recurrence, the number and diameter of condylomas in AHCC users were significantly lower than in AHCC non-users ( = 0.019 and = 0.042, respectively). : Although the usage of AHCC is not expected to help prevent recurrence after the cauterization of condylomata acuminate in all patients, physicians may consider AHCC as a nutritional supplement and supportive therapy in the absence of other systemic treatments. Consequently, the duration of AHCC support necessary to optimize the effect of AHCC use on relapse prevention requires further evaluation on the basis of both target IFN-β levels and HPV infection status.

摘要

人乳头瘤病毒(HPV)是最常见的性传播疾病之一。HPV是生殖器尖锐湿疣病变的病因。目前尚未建立针对HPV相关感染的持久有效的全身治疗方案。在本研究中,我们的目的是评估活性己糖相关化合物(AHCC)在尖锐湿疣烧灼术后患者预防复发中的作用。

2019年1月至2022年6月期间我院收治的244例患者被诊断为尖锐湿疣,对接受尖锐湿疣烧灼术的患者进行回顾性评估。我们纳入了133例符合标准的患者。接受AHCC治疗的患者每三个月定期进行随访检查。根据患者是否使用AHCC将其分为两组并进行分析。

未使用AHCC患者的平均年龄显著高于使用AHCC的患者(<0.01)。发现治疗前使用AHCC患者的尖锐湿疣数量和最大尖锐湿疣直径显著高于未使用AHCC的患者(分别为=0.006和=0.004)。在复发的参与者中,使用AHCC患者的尖锐湿疣数量和直径显著低于未使用AHCC的患者(分别为=0.019和=0.042)。

虽然预计AHCC的使用并不能帮助所有患者预防尖锐湿疣烧灼术后的复发,但在没有其他全身治疗的情况下,医生可将AHCC视为一种营养补充剂和支持性疗法。因此,需要根据目标IFN-β水平和HPV感染状况进一步评估优化AHCC使用对预防复发效果所需的AHCC支持持续时间。

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