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1 临床资料自1994年1月至1996年1月在门诊应用CO_2激光治疗尖锐湿疣30例,年龄20～45岁,患病部位多为会阴、阴道、宫颈、肛门周围。常规行白带检查脓球菌、霉菌、滴虫,采用涂片法;淋菌则用PCR法检测。其中并发淋病者5例,并发霉菌性阴道炎10例,并发滴虫性阴道炎15例。2 治疗方法采用长春中吉光电公司产ZJZ-B系列多功能激光治疗机。波长为10.6μm,输出功率50W,光束,光斑为3mm。治疗前3天,嘱患者用妇洁舒清洗局部或坐浴,每天1次。治疗时用3％金星消毒液消毒外阴、阴道及宫颈,并以2％利多卡因局部浸润麻醉。操作时光调试激光机,检查出光情况,然后将光管头对准疣组织每个烧灼,范围不超过疣的直径,深度达疣的基底部,一般每颗需1～2秒钟,一般烧灼1次即可摧毁疣组织。
1 clinical data from January 1994 to January 1996 in the clinic application of CO_2 laser treatment of genital warts in 30 cases, aged 20 to 45 years old, mostly in the affected parts of the perineum, vagina, cervix and anus. Conventional leucorrhea check pus, mold, trichomoniasis, smear method; gonococcus PCR method was used. Including gonorrhea in 5 cases, 10 cases of fungal vaginitis, trichomonas vaginitis in 15 cases. 2 treatment using Changchun Zhongji Optoelectronics ZJZ-B series of multi-function laser machine. Wavelength of 10.6μm, the output power of 50W, beam, spot is 3mm. 3 days before treatment, Zhu Huanzhe cleansing cleansing with a local or bath, 1 day. Treatment with 3% Venus disinfectant disinfect the vulva, vagina and cervix, and 2% lidocaine local anesthesia. Operate time debugging laser machine, check the light situation, and then the light pipette head each wart cautery organization, the range does not exceed the diameter of the warts, the depth of the base of warts, usually every 1 to 2 seconds, the general cautery 1 Times to destroy the wart tissue.