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目的探讨二氧化碳激光联合微波术治疗肛周尖锐湿疣的临床效果。方法选取十堰市人民医院皮肤科和肛肠外科2015年1—9月收治的初发肛周尖锐湿疣患者58例,按照随机数字表法分为激光组19例、微波术组19例及激光联合微波术组20例。比较3组患者的治疗效果。结果 3组患者各疗程疣体祛除率比较,差异无统计学意义(P>0.05)。治疗后激光联合微波术组患者复发率低于激光组和微波术组,平均复发时间长于激光组及微波术组,差异有统计学意义(P<0.05)。激光联合微波术组总有效率(95.0%,19/20)高于激光组(84.2%,16/19)和微波术组(84.2%,16/19),差异有统计学意义(P<0.01)。结论二氧化碳激光联合微波术治疗肛周尖锐湿疣复发率较低,治疗效果好。
Objective To investigate the clinical effect of carbon dioxide laser combined with microwave in the treatment of perianal condyloma acuminatum. Methods Fifty-eight patients with perianal condyloma acuminatum who were treated in Department of Dermatology and Anorectal Surgery, Shiyan People’s Hospital from January to September, 2015 were divided into 19 laser group, 19 microwave group and laser combined with microwave Surgery in 20 cases. Compare the treatment effect of 3 groups of patients. Results There were no significant differences in wart elimination rate among the three groups (P> 0.05). The recurrence rate of laser combined with microwave group was lower than that of laser group and microwave group after treatment, and the average recurrence time was longer than that of laser group and microwave group (P <0.05). The total effective rate (95.0%, 19/20) in laser combined with microwave group was higher than that in laser group (84.2%, 16/19) and microwave group (84.2%, 16/19) ). Conclusion CO2 laser combined with microwave treatment perianal condyloma recurrence rate is low, the treatment effect is good.