摘要
目的观察不同方法治疗妊娠期合并尖锐湿疣(condyloma acuminatum,CA)的疗效。方法对2005年6月至2010年5月就诊于天津市中心妇产科医院的妊娠合并CA的200例患者相关资料进行回顾性比较研究,其中A组69例采用VWYⅢ型微波治疗仪治疗,B组67例采用CO2激光治疗,C组64例采用50%三氯醋酸上药治疗。结果治疗后随访3个月,A组治愈60例(86.96%),复发15例(21.74%);B组治愈61例(91.04%),复发16例(23.88%);C组治愈54例(84.38%),复发4例(6.25%)。3种方法治愈率比较无统计学意义(P>0.05);复发率C组较A、B两组低(χ2=8.36,P<0.05)。结论微波、CO2激光和50%三氯醋酸局部药物治疗妊娠期CA均安全可靠,治愈率高,50%三氯醋酸复发率较低,优于另外两种方法。
Objective To compare curative effects on different methods of treating gravid condyloma acuminatum（CA）. Methods Clinical data from 200 patients of Gravid Condyloma acmninatmn treated by three kinds of methods such as microwave treatment for 69 cases in A group, CO2 Laser treatment for 67 cases in B group, 50% trichloroacetic acid treatment for 64 cases in C group in Tianjin Central Obstetrics and Gynecology Hospital from June, 2005 to May 2010 were analyzed retrospectively. Results Following up for 3 months, the cure rate of A group, B group and C group is 86. 96% , 91.04% and 84. 38% respectively while the recurrence rate is 21.74%, 23.88% and 6.25% respectively. The differences of cure rates among three groups had no statistical significance （ P 〈 0.05 ）. Recurrence rate of C group was lower than that of A or B group that the difference was significant（χ^2 = 8.36, P 〈 0. 05）. Conclusion Microwave, laser and 50% trichloroaeetic acid treatment methods are safe and have high cure rate for gravid condyloma aemninatmn. 50% trichloroacetie acid has lower recurrence rate than another two methods.
出处
《中国计划生育和妇产科》
2011年第4期42-44,共3页
Chinese Journal of Family Planning & Gynecotokology
