醋酸白试验阳性区二氧化碳激光治疗对尖锐湿疣复发的影响观察  

Recurrence of condyloma acuminatum after treatment of CO_2 laser combined with interferon

作　　者：黄波[1] 杜策[2] 

机构地区：[1]川北医学院临床医学系,四川南充637000 [2]洪雅县人民医院皮肤科,四川眉山620360

出　　处：《中国性科学》2016年第2期79-81,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨醋酸白试验在尖锐湿疣治疗中对其复发率的影响。方法:将89例尖锐湿疣患者随机分为治疗组和对照组,对照组采用二氧化碳激光烧灼肉眼可见皮损和干扰素局部封闭治疗;治疗组在对照组基础上,同时采用醋酸白试验检测HPV引起的亚临床感染区,并予以二氧化碳激光治疗。结果:治疗组和对照组在疗程结束后1月内的复发率分别为8.89%、29.55%,3月内复发率分别为4.44%、20.45%,6月内的复发率分别为0、13.64%,两组复发率比较P<0.05;结论:醋酸白试验可帮助临床医生尽早发现HPV亚临床感染区,治疗肉眼可见皮损的同时,尽早对亚临床感染区治疗,可以明显降低尖锐湿疣的复发,减少传染性、减轻患者的心理负担,提高患者的生活质量。Objectives： To discuss the recurrence rate of condyloma acuminatum after treatment of CO2 laser combined with interferon. Methods： 89 patients with condyloma acuminatum were randomly divided into treatment group and control group. The control group was treated with CO2 laser burning the visible lesions and local injection of interferon. On such basis,acetowhitening test was used to detect subclinical infection zone caused by HPV in treatment group and the treatment group was treated by CO2 laser. Results： After the treatment,the recurrence rate of the treatment group and control group were 8. 89% and 29. 55%（ within 1 month）,4. 44% and 20. 45%（ within 3 months）,0 and 13. 64%（ within 6 months）,all P〈0. 05; Conclusion： Acetowhitening test can help discover the subclinical infection zone caused by HPV. Treating the visible lesions and burning the subclinical infection as early as possible can reduce the recurrence of condyloma acuminatum and infectivity,relieve patients＇ psychological burden and improve the quality of life of patients.

关 键 词：醋酸白试验 尖锐湿疣 复发 

分 类 号：R759[医药卫生—皮肤病学与性病学]