高频电刀联合中药熏洗治疗肛门尖锐湿疣疗效观察  

The curative effect of the high frequency electricity knife combined traditional Chinese medicine fumigation treatment on anal warts

作　　者：王亚波[1] 张明峰[2] 范宇锋[3] 

机构地区：[1]湖州市中医院外科,浙江湖州313000 [2]湖州市中医院皮肤科,浙江湖州313000 [3]湖州市中医院肛肠科,浙江湖州313000

出　　处：《中国性科学》2016年第4期86-89,共4页Chinese Journal of Human Sexuality

摘　　要：目的:观察中药熏洗对肛门尖锐湿疣术后创面愈合及复发率的影响。方法:将2012年1月至2014年3月于我院60例实施高频电刀术的病例随机分成两组,对照组30例采取短程干扰素用药,观察组30例在此基础上外用中药熏洗,观察两组术后创面愈合情况及一个疗程结束时的复发率等指标。结果:观察组创面愈合总有效率明显优于对照组(P<0.01);观察组平均创面愈合时间(9.53±1.21)d与对照组(13.31±2.26)d相比较,差异存在统计学意义(t=8.08,P<0.01);两组第一个疗程结束时原皮损处、边缘、其他部位均有复发,但观察组的复发率远低于对照组(P<0.01);观察组总有效率明显高于对照组(P<0.01)。结论:中药熏洗联合应用较单纯使用干扰素在肛门尖锐湿疣高频电刀切除术后创面修复及减少复发方面具有明显优势。Objectives：To observe the postoperative wound healing and recurrence rate of anal warts patients treated by traditional Chinese medicine fumigation.Methods：There were 60 anal warts cases,which were treated by the high frequency electric knife,were divided into two groups at random.The 30 cases in control group were treated with short-range interferon medicine and 30 cases in observation group were treated with short-range interferon medicine and traditional Chinese medicine fumigation.The postoperative wound healing and recurrence rate of a course at the end of the first course were observed.Results：The total effective rate of wound healing in observation group was obviously better than control group,with statistically significant difference （P〈0.01）.The average wound healing time of observation group （9.53 ± 1.21） was far shorter than the control group （13.31 ±2.26） （t = 8.08,P〈0.01）;In the end of first course of treatment,the two groups both had relapse at the original,edge in skin lesions and other parts,but the recurrence rate in observation group was far lower than control group,with statistically significant difference （P〈0.01）.The total effective rate of observation group was significantly higher than the control group,with statistically significant difference （P〈0.01）.Conclusion：The joint use of traditional Chinese medicine fumigation and short-range interferon medicine has obvious advantages in wound repair and reduce the recurrence rate compared with simple high-frequency electrotome resection.

关 键 词：肛门尖锐湿疣 外治法 高频电刀 中药熏洗 

分 类 号：R752.5[医药卫生—皮肤病学与性病学]