手术联合中药治疗尖锐湿疣

尖锐湿疣 (CA)系人乳头瘤病毒 (HPV )感染引起的性传播疾病 (STD)。目前尚无确切的单一疗法 ,最棘手的问题是复发率高。曾对 10 3例CA患者 ,分别进行单纯高频电刀切除、电凝及高频电刀切除、电凝+中药内服治疗 ,并进行 6个月随访观察 ,现评价其疗效。1　病例的选择和治疗　 1998～ 2 0 0 1年门诊治疗CA患者 10 3例 ,均为男性 ,年龄 2 0～ 5 8岁 ,病程 7～ 180天。病例选择标准是 ,临床表现典型 ,并经病理检查确诊 ,就诊前均未接受其它治疗。10 3例随机分成 2组 :①单纯高频电刀切除、电凝治疗组 :5 1例 ,应用国产高频电刀清除所有病灶 …     

消疣汤治疗尖锐湿疣34例疗效观察

2006年4月～2006年11月，我们对34例尖锐湿疣患者。采用自拟消疣汤内服治疗，取得满意疗效。现报告如下。     

激光联合胸腺肽治疗尖锐湿疣的疗效观察

尖锐湿疣(CA)是人类乳头瘤病毒(HPV)所致的性传播疾病(STD)，发病率在STD中居第2位。目前多采用激光、电烧灼、红外线、药物等疗法，但效果不太理想，复发率较高。因此，如何提高疗效、防止复发，是临床医生关注的问题。我院妇科门诊采用激光联合胸腺肽治疗CA，取得了满意效果，现报告如下。     

穿刺置疣术治疗尖锐湿疣97例对比观察

邢台市第一医院1998年采用自体疣手术切开埋植术治疗尖锐湿疣以来,取得了满意疗效。但临床实践中发现,自体疣手术切开埋植法存在定位准度差,切开感染、瘢痕形成及仍有部分复发等问题。为此,将自体疣手术切开埋植,改良为穿刺置人自体疣方法（简称穿刺置疣术）,并将两法进行对照观察。     

CO_2激光手术治疗尖锐湿疣

我们采用CO_2激光理疗机切割、气化、烧灼治疗17例尖锐湿疣患者的皮肤、粘膜损害,疗效满意。1.临床资料:男性9例,女性9例;年龄11～34岁;病期半月～1年。男性湿疣在阴茎冠状沟、     

CO2激光联合半枝莲膏、IL-2治疗尖锐湿疣复发的疗效观察

目的 探讨CO2激光联合半枝莲膏、IL-2治疗尖锐湿疣（GA）复发的临床疗效.方法 将192例CA患者随机分为四组,每组各48例,四组均先行CO2激光去除疣体,然后A组不行干预治疗,B组用半枝莲膏涂于病损及其周围2 cm处,C组肌注IL-2,D组联用半枝莲膏、IL-2,疗程均为3个月.观察患者的疗效、不良反应及复发情况.结果 与A、B、C组比较,D组治愈率、总有效率最高,复发率最低（P均＜0.05）;D组的不良反应发生率无明显增高.结论 CO2激光联合半枝连膏、IL-2可明显降低CA复发率.     

激光及免疫疗法联合治疗尖锐湿疣临床观察

尖锐湿疣 (ＣＡ)是由人乳头瘤病毒 (ＨＰＶ)感染所致皮肤粘膜赘生物 ,临床上治疗方法很多 ,常规应用的有激光、冷冻、微波、外用去疣药等疗法。但复发率高 ,长期不愈者 ,尤其对女性 ,发生癌变的几率增加。院皮肤科于 2 0 0 1年 3月～ 2 0 0 2年 3月共收治ＣＡ患者 83例 ,于电灼术后应用胸腺肽针加服阿昔洛韦片进行治疗 ,在控制复发方面取得了较好的疗效。1　病例来源　 83例患者均来自院皮肤科门诊 ,其中5 6例有婚外性接触史 ,2 5例配偶有婚外性接触史。所有病例均在外生殖器部位出现疣体 ,并证实为ＣＡ。妊娠、哺乳期妇女不计在内 ,对阿昔…     

CO2激光联合局部外用重组人干扰素α-2b凝胶治疗尖锐湿疣疗效研究

目的探讨CO2激光联合局部外用重组人干扰素α-2b凝胶治疗尖锐湿疣(condyloma accuminata,CA)的效果。方法 60例CA患者随机分为治疗组和对照组。治疗组采用CO2激光切除疣体后,局部外用重组人干扰素α-2b凝胶,1次/d,连续用14d。对照组仅用CO2激光直接去除疣体。结果对2组疗效进行对比,治疗组治愈率为90.0%,高于对照组的66.7%。治疗组复发率为10.0%,明显低于对照组的33.3%。结论 CO2激光联合局部外用重组人干扰素α-2b凝胶治疗CA,疗效肯定、方法简便、经济,对降低CA复发率有较显著作用。     

CO2 laser for the treatment of invasive vulvar and vaginal cancer

In a material of 21 patients including 7 primary and 6 recurrent vulvar carcinomas, 5 vaginal carcinomas, 1 urethral carcinoma and 2 preinvasive vulvar carcinomas operation was performed with a CO2-laser scalpel. In 9 radical and 3 partial vulvectomies no primary closing of the wounds was performed. In the remaining primary closing was performed. The operative bleeding and healing process with laser scalpel and electrosurgical scalpel using open wound technique were about the same. The surgical time was longer with the laser technique but the operative specimens were better preserved. Healing of the primary closed wounds were uncomplicated.     

异维A酸和局部治疗尖锐湿疣的疗效观察

目的　了解口服异维A酸治疗尖锐湿疣 (CA)的效果及其对复发的作用。方法　将门诊确诊的CA病人分为 2组 :异维A酸组 6 0例 ,给予异维A酸胶丸 10mg ,1日 3次或 1日 2次口服 ,同时用CO2 激光祛除疣体 ,每周随访 ,观察皮损变化及主要不良反应 ,并记录结果。将其中痊愈病人改为每日 1次 ,每次 10mg ,连续 1个月。停药再随访 3个月评定复发率。对照组 6 0例 ,α 干扰素 (沈阳三星生产 ) 30 0万U隔日 1次肌内注射 ,疗程及观察、记录方法同治疗组。结果　异维A酸组 :痊愈 2 4例 (4 0 0 % ) ,显效 35例 (5 8 3% ) ,无效 1例 (1 7% )。α 干扰素组 :痊愈 13例 (2 1 7% ) ,显效 4 4例 (73 3% ) ,无效 3例 (5 0 % )。两组治愈率比较差异有显著的统计学意义 (χ2 =3 76 ,P <0 0 5 )。采用口服异维A酸治疗痊愈的 2 4例病人中 ,复发 3例 ,复发率为 12 6 % ,采用肌内注射α 干扰素痊愈的 13例中 ,复发 7例 ,复发率为 5 3 8% ;异维A酸组近期复发率明显低于α 干扰素组。两组复发率的差异有显著的统计学意义 (χ2 =3 88,P <0 0 5 )。结论　口服异维A酸胶丸对CA具有较好的治疗作用 ,近期复发率较低。     

Ambulatory hemorrhoidectomy with CO2 laser

PURPOSE: This study was undertaken to evaluate ambulatory hemorrhoidectomy using the CO₂ laser. METHODS: Ninety consecutive patients (50 males, 40 females), 80 percent of whom had second or third degree hemorrhoids, had ambulatory hemorrhoidectomy performed with a CO₂ laser in the left lateral Sims position under local anesthesia and intravenous sedation. Dissection was entirely performed with the CO₂ laser using an open technique. RESULTS: One patient with polycythemia vera was admitted subsequently for secondary hemorrhage. All but three patients had healed within four weeks. No long-term sequelae were encountered. CONCLUSION: These results compare favorably with those obtained by others and show that ambulatory laser hemorrhoidectomy may simplify management in selected patients.     

Use of the CO2 laser in endobronchial pathology

Endoscopic therapy by CO2-laser of the "Skalpel-1" type through the Friedel breathing bronchoscope is analyzed. The treatment was performed in 40 patients with various endobronchial affections such as tumors, fistulas due to tuberculosis of the intrathoracic lymph nodes, specific and nonspecific stump inflammation, mycotic lesions of the stump mucosa, foreign bodies, cicatricial stenosis of the bronchi, scleroma of the trachea and bronchi, hemorrhage. High efficiency of endoscopic laser bronchoscopy was shown.     

Intralesional bleomycin injection in treatment of condyloma acuminatum

The antitumoral antibiotic, bleomycin, was given by intralesional injection to ten patients with condyloma acuminatum. Our 70 per cent success rate suggests this is a reasonable alternative treatment in the management of anal warts which prove unresponsive to other modalities.     

Subglottic hemangioma: a comparison of CO2 laser, Neodym-Yag laser, and tracheostomy

For airway obstruction caused by subglottic hemangiomas, tracheostomy is still regarded by some as the only established therapy, despite numerous other therapeutic options. Resection with lasers was also reported, but subglottic scar formation may occur, and different laser types may have advantages over others. The charts of 46 consecutive patients over 26 years were reviewed. Until 1986, therapy involved systemic steroids or tracheostomy. Thereafter, a Neodym-Yag and after 1995 a CO2 laser was used. Mean initial stenosis was 61.0% in the first (n=15), 85.8% in the Neodym-Yag (n=14), and 86.7% in the CO2 period (n=17). Tracheostomy rates could be reduced from 76.9% to 46.9% with the Neodym-Yag and to 30.8% with the CO2 laser, and to 22.2% in children not intubated before referral. One tracheostomy obstruction resulted in severe neurological damage; granulomas required resection in 37.5%. Secondary subglottic stenosis was found in 15.4% with the Neodym-Yag, but not with the CO2 laser. With tracheostomy, 12.5% were symptom-free at age 2-3 years, vs. 25.0% in the Neodym-Yag and 41.6% in the CO2 laser period. Speech development was delayed in 75.0% with tracheostomy, and parental anxiety lessened in only 18.8% before the second birthday (68.8% without tracheostomy). Since the end of the retrospective analysis, we treated a further 21 patients (mean stenosis, 83.3%) with the CO2 laser, with only one tracheostomy (4.8%). Compared to steroids and tracheostomy, a significant reduction in morbidity and speech developmental delay, and an improved quality of life, were achieved with CO2 laser resection, and this approach was superior to the Neodym-Yag laser.     

Study of the mucociliary transport rate in evaluating the effectiveness of the treatment of suppurative endobronchitis by CO2 laser

The rate of mucociliary transport (MCT) in dogs with an experimental pulmonary tuberculosis and concurrent suppurative endobronchitis (SEB) and just with the latter was measured. The treatment effect was achieved by an endobronchial radiation with a CO2-laser unfocused beam of 3.56 and 5.3 w/cm2 power density, and the dogs in the control group were subjected to an endobronchial introduction of furagin. A comparison of the endoscopic picture and MCT rate findings made it possible to believe that the latter index appeared to be more reliable than a visual inspection of the bronchial mucous membrane. An active specific process in the lungs brings about MCT rate inhibition while the concurrent SEB aggravates these changes to a great extent. The radiation of the bronchial mucous membrane with the CO2-laser unfocused beam produces an immediate positive effect on MCT rate normalization. Better results were observed at a power density of 3.56 w/cm2.