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目的:观察微波治疗尖锐湿疣的临床效果。方法:2010年2月～2011年3月收治尖锐湿疣患者368例,随机分为两组各184例。对照组采用咪喹莫特乳膏治疗,临睡前涂抹于患处,保留6～10小时后用洗掉,隔日1次,连续应用8周。治疗组在对照组基础上进行微波治疗,选用仪器POME-ⅦA型仪器。患者常规消毒外阴,碘伏棉球消毒擦拭分泌物,调整治疗头照射功率16～17.5W,打开治疗头手柄开关,垂直照射创面,一般持续数10秒。1个月内禁止性生活,治疗后随访24周。结果:经过首次治疗,对照组和治疗组疣体均完全消失,疗效比较差异无显著性,但是经过治疗后4、8、12、16、24周的观察,治疗组复发率明显低于对照组,两组复发率比较差异有显著性(P<0.05)。结论:微波治疗尖锐湿疣疗效显著,操作方法简单,值得推广。
Objective: To observe the clinical effect of microwave treatment of genital warts. Methods: From February 2010 to March 2011, 368 patients with condyloma acuminatum were randomly divided into two groups of 184 cases each. The control group was treated with imiquimod cream and applied to the affected area just before going to sleep. The control group was washed 6 to 10 hours later and once every other day for 8 weeks. The treatment group was treated with microwave on the basis of the control group, and the instrument POME-ⅦA was selected. Patients routine disinfection of the vulva, iodophor cotton swab disinfection wipe the secretions, adjust the treatment of head irradiation power 16 ~ 17.5W, open the treatment head handle switch, vertical wound, the general number of 10 seconds. Sexual life is banned within 1 month, followed up for 24 weeks after treatment. Results: After the first treatment, the control group and the treatment group were completely disappeared wart, the effect was no significant difference, but after 4,8,12,16,24 weeks after treatment, the treatment group recurrence rate was significantly lower than the control group There was significant difference between the two groups (P <0.05). Conclusion: Microwave treatment of genital warts significant effect, the operation method is simple, it is worth promoting.