5%咪喹莫特乳膏外用预防尖锐湿疣复发的疗效观察

目的观察5%咪喹莫特乳膏外用预防尖锐湿疣(CA)复发的疗效。方法治疗组43例CA患者予二氧化碳激光祛除疣体后1周于原皮疹部位及其周围0.5cm范围外用5%咪喹莫特乳膏,隔日1次,疗程1月,对照组38例CA患者单用二氧化碳激光治疗,治疗后两组均随访3个月。结果治疗组复发率(6.97%,3/43)明显低于对照组(42.10%,16/38)(P<0.01)。结论 5%咪喹莫特乳膏外用可以明显降低CA的复发率。     

CO2激光联合咪喹莫特乳膏预防尖锐湿疣复发疗效观察

目的探讨C02激光联合咪喹莫特乳膏预防尖锐湿疣（CA）复发的疗效。方法将74例患者随机分成两组，治疗组在CO2激光术后局部外用咪喹莫特8周，对照组单用CO2激光治疗，两组均随访3个月，观察患者复发情况。结果治疗组复发率为12．5％，对照组为38．2％，两组比较差异有统计学意义（P〈0．05）。结论CO2激光联合咪喹莫特乳膏治疗尖锐湿疣能明显降低其复发率。     

二氧化碳激光联合咪喹莫特乳膏治疗尖锐湿疣疗效观察

目的探讨CO2激光联合咪喹莫特乳膏治疗尖锐湿疣(CA)的临床疗效。方法将60例CA患者随机分为2组,治疗组在CO2激光术后局部外用咪喹莫特乳膏8周,对照组单纯用CO2激光治疗,随访6个月,观察2组患者复发情况。结果治疗组与对照组的复发率分别为6.67%,63.33%(P<0.01)。结论CO2激光联合咪喹莫特乳膏治疗CA有较好的临床疗效。     

CO2激光术联合5%咪喹莫特乳膏治疗尖锐湿疣的临床疗效观察

目的：探索二氧化碳激光联合5%咪喹莫特乳膏治疗尖锐湿疣的临床疗效.方法：将96例患者随机分为二组,治疗组48例在二氧化碳激光术后外用咪喹莫特乳膏每周3次,连用12周,对照组48例单用激光治疗,随访6个月,观察两组复发情况.结果：治疗组复发率为12.5%对照组为66.67%,两组复发率比较有统计学差异（χ2=29.44,P〈0.01）.结论：二氧化碳激光联合5%咪喹莫特乳膏治疗尖锐湿疣有较好的临床疗效,可降低治疗后复发率.     

咪喹莫特乳膏预防尖锐湿疣复发的疗效观察

目的 探讨CO2激光术后外用咪喹莫特乳膏预防尖锐湿疣（CA）复发的情况。方法 治疗组采用CO2激光术后联合外用咪喹莫特乳膏治疗8周，对照组单用CO2激光治疗。随访6个月，对两组的复发情况进行比较。结果 治疗组复发率低于对照组，两组复发率比较差异有显著性（P〈0．05）。结论 眯喹莫特乳膏外用可以降低CA的复发率。     

CO2激光治疗联合咪喹莫特乳膏治疗女性尖锐湿疣的临床疗效观察

目的：探讨CO2激光治疗联合5％咪喹莫特乳膏在女性尖锐湿疣治疗中的临床应用价值.方法：选取我院收治的80例女性尖锐湿疣患者,随机分为两组,均签署知情同意书.对照组采用CO2激光治疗联合阿昔洛韦软膏外用的治疗方法;治疗组采用CO2激光治疗联合5％咪喹莫特乳膏外用的治疗方法,治疗期为1个月,观察3个月后两组患者的治愈率、复发率以及其安全性.结果：治疗组总有效率为97.5％,对照组总有效率率为87.5％,治疗组总有效率明显高于对照组（P＜0.05）;治疗组复发率为12.5％,对照组复发率为30.0％,治疗组复发率明显低于对照组（P＜0.05）.治疗期间观察各组均无明显副作用.结论：女性尖锐湿疣经CO2激光治疗后外用5％咪喹英特乳膏的临床效果优于外用阿昔洛韦软膏,且未发现明显不良反应,值得临床推广及应用.     

光动力疗法和咪喹莫特预防老年男性尖锐湿疣复发的疗效观察

目的比较5-氨基酮戊酸光动力疗法(ALA-PDT)和咪喹莫特对老年男性尖锐湿疣患者经微波治疗后疾病复发率的影响。方法将92例老年尖锐湿疣患者随机分为三组,微波治疗组(A组)、微波联合ALA-PDT组(B组)和微波联合咪喹莫特组(C组)。所有患者予微波祛除疣体,A组34例在创面愈合以后局部不给任何药物治疗;B组26例在原疣体部位及周边1cm范围局部外敷20%5-氨基酮戊酸(ALA)霜剂,并用薄膜封包3h,再用光动力治疗仪照射,时间为20min/光斑,1次/周,连续3次;C组32例创面愈合以后外用咪喹莫特软膏,隔天1次,连用12周。随访6个月,观察复发率及不良反应。结果微波联合ALA-PDT组和微波联合咪喹莫特组治疗后复发率分别为15.38%和21.88%,显著低于微波治疗组(52.94%)(P0.01),但前两者间复发率差异无统计学意义(P0.05)。结论 ALAPDT和咪喹莫特均能有效降低老年男性患者尖锐湿疣微波治疗后的复发,且效果相似。     

CO2激光联合咪喹莫特乳膏治疗尖锐湿疣48例临床观察

目的探讨CO2激光联合咪喹莫特乳膏治疗尖锐湿疣的疗效。方法将48例尖锐湿疣(CA)患者随机分为治疗组和对照组,治疗组采用CO2激光联合咪喹莫特乳膏治疗CA的方案进行治疗,对照组应用传统的方法进行治疗。结果治疗组24例患者,3次疣体清除后根治率达83.3%(20/24),3个月随访治疗全部治愈,治愈率达100%,而对照分别为50%(12/24)、66.6%(16/24),两组差异有显著性。结论CO2激光联合咪喹莫特乳膏方案治疗CA效果较好,复发率显著降低。     

5%咪喹莫特乳膏预防尖锐湿疣复发的疗效观察

目的观察局部外用5%咪喹莫特乳膏在物理治疗尖锐湿疣后预防复发的疗效。方法46例符合尖锐湿疣诊断的病人随机分成治疗组和对照组,均行物理治疗去除疣体后,治疗组外用咪喹莫特乳膏每周3次,对照组外用重组人干扰素α-2b凝胶4次/d。疗程均为12周。结果治疗组和对照组复发率分别为13.6%,42.9%,二者差异有显著性。结论外用咪喹莫特乳膏疗效更佳,能预防CA复发。     

CO2激光联合5%咪喹莫特乳膏治疗女性生殖器尖锐湿疣

尖锐湿疣（CA）是临床常见的性传播疾病（STD）之一，系人乳头瘤病毒（HPV）感染所致，易复发，治疗棘手，我科单用CO2激光及5％咪喹莫特乳膏（商品名明欣利迪，四川明欣药业有限责任公司生产）外用或CO2激光联合5％咪喹莫特乳膏外用治疗女性外生殖器尖锐湿疣186例，现将结果报道如下。     

Epidermal neoplasms with epidermolysis bullosa dystrophica with the first report of carcinoma with the acquired type

Summary Carcinoma, usually always squamous cell carcinoma, is one of the most serious complications in epidermolysis bullosa dystrophica. It can occur on the skin, mucous membranes, the esophagus and possibly the upper part of the bronchial tree. We are reporting on four new patients; one, the youngest to be so reported, one with a definite autosomal dominant inheritance and one with a chronic acquired dystrophica epidermolysis bullosa. Most cases have an autosomal recessive inheritance, but the disorder is probably more hetereogeneous in its inheritance than has been reported. Studies of the collagen indicate a disturbance, but present studies indicate the defect to be more a cellular defect in the fibroblast yet undetermined. The carcinomas, usually multiple, appear to arise on scarred tissue and to metastasize rapidly with death.

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Zusammenfassung Zu den schwersten Komplikationen der Epidermolysis bullosa dystrophica zählt das stachelcelluläre Carcinom. Es kann an der Haut, Schleimhaut, Oesophagus und möglicherweise auch im oberen Bereich des Bronchialsystems auftreten. Wir berichten über vier neu beobachtete Patienten: den bislang jüngsten Patienten, einen Patienten mit autosomal dominantem Vererbungsmodus und einen Patienten mit Epidermolysis bullosa dystrophica acquisita. Die meisten Patienten zeigten autosomal recessive Vererbung, wahrscheinlich jedoch ist die Erkrankung in ihrem Vererbungsmodus unterschiedlicher als bisher angenommen.Collagenanalysen weisen auf eine Störung hin, die nach den hier vorliegenden Untersuchungen jedoch eher auf einen cellulären Defekt der Fibroblasten beruht. Die vielfach multiplen Carcinome entstehen vornehmlich auf Narbengewebe und metastasieren rasch mit tödlichem Ausgang.

     

Measurement of hydration in the stratum corneum with the MoistureMeter and comparison with the Corneometer

Background/purpose: MoistureMeter is a novel capacitive device for measuring the hydration of stratum corneum (SC). The capacitor ‘plates’ are formed by the probe material and the well‐conducting epidermal–dermal skin layers, while the dry layer of SC acts as an ‘insulator’ of the capacitor. Due to this measurement principle, the measurement depth is not constant, but equal to the thickness of the dry layer of SC. The present study was undertaken to test the MoistureMeter SC‐2 in an experimental setup simulating the uppermost skin structure. The sensitivity of the MoistureMeter was compared with a conventional device Corneometer CM 820 in eight healthy volunteers. Methods: The experimental setup consisted of a polyethene foil simulating SC and a mixture of cellulose and saline simulating the underlying skin layers with a high water content. The hydration of SC of volar forearm was measured in eight healthy volunteers both with the MoistureMeter SC‐2 and Corneometer CM 820 after the application of three different skin formulations: base, base plus salt (2 wt% NaCl), base plus salt and glycerin (5 wt%). In the sorption–desorption test, the skin was wetted with a drop of water and the dehydration was followed with both devices for 2 min. Results: The test with the experimental setup agreed with the results predicted by the mathematical capacitance model. The hydration values of the MoistureMeter SC‐2 and Corneometer CM 820 correlated well (R=0.75), but the relative range of readings with the MoistureMeter was approximately three times larger than with Corneometer. The MoistureMeter was insensitive for the salt (2 wt% NaCl) of the formulation and differentiated the hydration effect of glycerin better than the Corneometer. In the sorption–desorption test, the MoistureMeter demonstrated the individual differences between the volunteers, whereas with the Corneometer the differences were minimal. Conclusion: The capacitive measuring principle of the MoistureMeter was demonstrated in an experimental arrangement. Although both instruments yielded equivalent data with the base formulation, the MoistureMeter was a more sensitive device than the Corneometer CM 820 and independent of added salt in the formulations.     

影响寻常型银屑病患者愈后缓解期长短因素

目的:分析影响寻常型银屑病治愈后缓解期的相关因素。方法:选取我院住院采取统一治疗方案治愈的寻常型银屑病患者126例,记录入院时病情相关信息对出院后的复发情况进行随访,时间为1年。结果:共111例患者完成观察,其中患者发病次数、病情严重程度、精神因素、治疗期间有无新发皮疹、既往治疗等因素与愈后缓解期有显著相关性。结论:影响银屑病预后的原因复杂,对于有易复发因素的患者治疗中可以采取相应对策,减少复发。