CO_2激光治疗男男性接触者肛周及肛管内尖锐湿疣疗效分析

目的:探讨CO_2激光治疗男男性接触者肛周及肛管内尖锐湿疣的疗效。方法:对140例男男性接触者肛周及肛管内尖锐湿疣进行5点法麻醉下CO_2激光治疗,并进行末次治疗后6个月的随访。结果:单纯肛周组83例,第1次治疗后有31例(37.3%)复发,至末次治疗结束后,随访6个月均治愈(100%);单纯肛管组21例,第1次治疗后有13例(61.9%)复发,6个月后有1例复发,治愈率95.2%;肛周+肛管组36例,第1次治疗后有24例(66.7%)复发,6个月后有3例复发,治愈率91.7%。创面愈合期为2~6周,所有患者均有暂时性疼痛、肛门狭窄、排便困难,一般在2~3个月中解除,功能完全恢复。结论:CO_2激光治疗男男性接触者肛周及肛管内尖锐湿疣疗效可靠,不良反应少。

Effect of CO2-laser in treating MSM patients with perianal and anal condyloma acuminatum

Objectives:To explore the efficacy of CO2-laser in the treatment of perianal and anal condyloma acuminatum for men who have sex with men (MSM).Methods:140 MSM patients with condyloma acuminatum in perianal and anal were enrolled,treated with CO2-laser after local anaesthesia on five points,and followed up for six months or more after the last treatment.Results:Among the 83 patients with perianal condyloma acuminate,31 patients (37.3％) recrudesced after first cured,and healed in the six months' follow-up (100％).For 21 patients with anal condyloma acuminate 13 patients (61.9％) recrudesced after first cured,1 patient recrudesced after 6 months,cured ration of 95.2％.For 36 patients with perianal and anal condyloma acuminatum,24 patients (66.7％) recrudesced after first cured,3 patients recrudesced after 6 months,cured ration of 91.7％.The wounds healed up in 2 to 6 weeks.The complications included temporary postoperative pain,stenosis of anus and dysporia,which generally recovered in 2-3 months.Conclusion:The treatment effect of C02-laser for MSM patients with condyloma acuminatum in perianal anal is credible with less side effects.