Hijackthis oui c est compliqué

Bonjour,
j aimerait avoir une opinion sur mon scan hijackthis mon pc est lent et le son saccadé je voudrait le remettre en état sans pour autant avoir a le reformater .
dans l attente d une réponse je vous remercie....
voici le rapport:Logfile of Trend Micro HijackThis v2.0.2
Scan saved at 10:08:54, on 10/06/2008
Platform: Windows XP SP2 (WinNT 5.01.2600)
MSIE: Internet Explorer v7.00 (7.00.6000.16640)
Boot mode: Normal

Running processes:
C:\WINDOWS\System32\smss.exe
C:\WINDOWS\system32\winlogon.exe
C:\WINDOWS\system32\services.exe
C:\WINDOWS\system32\lsass.exe
C:\WINDOWS\system32\svchost.exe
C:\WINDOWS\System32\svchost.exe
C:\Program Files\Alwil Software\Avast4\aswUpdSv.exe
C:\WINDOWS\Explorer.EXE
C:\Program Files\Alwil Software\Avast4\ashServ.exe
C:\Program Files\NVIDIA Corporation\ForceWare\NVRemote\NvRemote.exe
C:\Program Files\Synaptics\SynTP\SynTPLpr.exe
C:\Program Files\Synaptics\SynTP\SynTPEnh.exe
C:\PROGRA~1\ALWILS~1\Avast4\ashDisp.exe
C:\WINDOWS\SOUNDMAN.EXE
C:\Program Files\Java\jre1.6.0_05\bin\jusched.exe
C:\WINDOWS\system32\ctfmon.exe
C:\Program Files\Windows Live\Messenger\MsnMsgr.Exe
C:\Program Files\Spybot - Search & Destroy\TeaTimer.exe
C:\WINDOWS\system32\spoolsv.exe
C:\Program Files\Fichiers communs\Microsoft Shared\VS7DEBUG\MDM.EXE
C:\WINDOWS\system32\nvsvc32.exe
C:\Program Files\Alwil Software\Avast4\ashMaiSv.exe
C:\Program Files\Alwil Software\Avast4\ashWebSv.exe
C:\WINDOWS\system32\wuauclt.exe
C:\Program Files\Spybot - Search & Destroy\SpybotSD.exe
C:\Program Files\Windows Live\Messenger\usnsvc.exe
C:\Documents and Settings\Marie\Bureau\HiJackThis.exe

R1 - HKCU\Software\Microsoft\Internet Explorer\Main,Search Page = https://www.bing.com/?toHttps=1&redig=5FC791212101479BAFBE1A679848B1AF
R0 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page = https://www.google.fr/webhp?sourceid=navclient&hl=fr&ie=UTF-8&gws_rd=ssl
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Page_URL = https://www.msn.com/fr-fr/?ocid=iehp
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Search_URL = https://www.bing.com/?toHttps=1&redig=5FC791212101479BAFBE1A679848B1AF
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Search Page = https://www.bing.com/?toHttps=1&redig=5FC791212101479BAFBE1A679848B1AF
R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Start Page = https://www.msn.com/fr-fr/?ocid=iehp
R0 - HKCU\Software\Microsoft\Internet Explorer\Toolbar,LinksFolderName = Liens
O2 - BHO: Aide pour le lien d'Adobe PDF Reader - {06849E9F-C8D7-4D59-B87D-784B7D6BE0B3} - C:\Program Files\Fichiers communs\Adobe\Acrobat\ActiveX\AcroIEHelper.dll (file missing)
O2 - BHO: ContextEnhancer - {4C6C4BA2-1646-0F3A-1FAE-B393C162C92E} - C:\Program Files\ContextEnhancer\ContextEnhancer-2.dll
O2 - BHO: Spybot-S&D IE Protection - {53707962-6F74-2D53-2644-206D7942484F} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O2 - BHO: SSVHelper Class - {761497BB-D6F0-462C-B6EB-D4DAF1D92D43} - C:\Program Files\Java\jre1.6.0_05\bin\ssv.dll
O2 - BHO: (no name) - {7E853D72-626A-48EC-A868-BA8D5E23E045} - (no file)
O2 - BHO: Windows Live Sign-in Helper - {9030D464-4C02-4ABF-8ECC-5164760863C6} - C:\Program Files\Fichiers communs\Microsoft Shared\Windows Live\WindowsLiveLogin.dll
O2 - BHO: Google Toolbar Helper - {AA58ED58-01DD-4d91-8333-CF10577473F7} - c:\program files\google\googletoolbar2.dll
O3 - Toolbar: &Google - {2318C2B1-4965-11d4-9B18-009027A5CD4F} - c:\program files\google\googletoolbar2.dll
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\system32\NvCpl.dll,NvStartup
O4 - HKLM\..\Run: [nwiz] nwiz.exe /install
O4 - HKLM\..\Run: [NvRemoteManager] C:\Program Files\NVIDIA Corporation\ForceWare\NVRemote\NvRemote.exe
O4 - HKLM\..\Run: [SynTPLpr] C:\Program Files\Synaptics\SynTP\SynTPLpr.exe
O4 - HKLM\..\Run: [SynTPEnh] C:\Program Files\Synaptics\SynTP\SynTPEnh.exe
O4 - HKLM\..\Run: [avast!] C:\PROGRA~1\ALWILS~1\Avast4\ashDisp.exe
O4 - HKLM\..\Run: [SoundMan] SOUNDMAN.EXE
O4 - HKLM\..\Run: [AlcWzrd] ALCWZRD.EXE
O4 - HKLM\..\Run: [Alcmtr] ALCMTR.EXE
O4 - HKLM\..\Run: [SunJavaUpdateSched] "C:\Program Files\Java\jre1.6.0_05\bin\jusched.exe"
O4 - HKLM\..\Run: [Adobe Reader Speed Launcher] "C:\Program Files\Adobe\Reader 8.0\Reader\Reader_sl.exe"
O4 - HKCU\..\Run: [ctfmon.exe] C:\WINDOWS\system32\ctfmon.exe
O4 - HKCU\..\Run: [MsnMsgr] "C:\Program Files\Windows Live\Messenger\MsnMsgr.Exe" /background
O4 - HKCU\..\Run: [swg] C:\Program Files\Google\GoogleToolbarNotifier\GoogleToolbarNotifier.exe
O4 - HKCU\..\Run: [SpybotSD TeaTimer] C:\Program Files\Spybot - Search & Destroy\TeaTimer.exe
O4 - HKUS\S-1-5-19\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE LOCAL')
O4 - HKUS\S-1-5-20\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE RÉSEAU')
O4 - HKUS\S-1-5-18\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SYSTEM')
O4 - HKUS\.DEFAULT\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'Default user')
O8 - Extra context menu item: E&xporter vers Microsoft Excel - res://C:\PROGRA~1\MICROS~2\OFFICE11\EXCEL.EXE/3000
O9 - Extra button: (no name) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_05\bin\ssv.dll
O9 - Extra 'Tools' menuitem: Console Java (Sun) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_05\bin\ssv.dll
O9 - Extra button: Recherche - {92780B25-18CC-41C8-B9BE-3C9C571A8263} - C:\PROGRA~1\MICROS~2\OFFICE11\REFIEBAR.DLL
O9 - Extra button: (no name) - {DFB852A3-47F8-48C4-A200-58CAB36FD2A2} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O9 - Extra 'Tools' menuitem: Spybot - Search & Destroy Configuration - {DFB852A3-47F8-48C4-A200-58CAB36FD2A2} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O9 - Extra button: (no name) - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra 'Tools' menuitem: @xpsp3res.dll,-20001 - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra button: Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O9 - Extra 'Tools' menuitem: Windows Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O16 - DPF: {6414512B-B978-451D-A0D8-FCFDF33E833C} (WUWebControl Class) - http://www.update.microsoft.com/...
O23 - Service: avast! iAVS4 Control Service (aswUpdSv) - ALWIL Software - C:\Program Files\Alwil Software\Avast4\aswUpdSv.exe
O23 - Service: avast! Antivirus - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashServ.exe
O23 - Service: avast! Mail Scanner - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashMaiSv.exe
O23 - Service: avast! Web Scanner - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashWebSv.exe
O23 - Service: Google Updater Service (gusvc) - Google - C:\Program Files\Google\Common\Google Updater\GoogleUpdaterService.exe
O23 - Service: NVIDIA Display Driver Service (NVSvc) - NVIDIA Corporation - C:\WINDOWS\system32\nvsvc32.exe
O23 - Service: X10 Device Network Service (x10nets) - Unknown owner - C:\PROGRA~1\NVIDIA~1\FORCEW~1\NVRemote\x10nets.exe (file missing)