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激光治疗肛管-直肠下端尖锐湿疣28例分析

Analysis of 28 Cases of Acumination Condyloma in Anal Canal - Lower Rectum by Laser

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【作者】 蔡慧敏翁玲达

【Author】 Cai Hui-ming, Weng Ling-da(Department of Laser Medicine , Shanhai Huangpu Central Hospital, Shanghai Laser Medicine Center, 200002)

【机构】 上海市黄浦区中心医院医疗激光研究室上海市黄浦区中心医院医疗激光研究室 上海 200002上海 200002

【摘要】 目的:本文用CO2激光和Nd:YAG激光治疗肛管及直肠下端尖锐湿疣,并对分布、伴发部位、激光治疗方法及疗效进行分析。方法用2%利多卡因注射液局部浸润麻醉,CO2激光直接气化,少数病人用卤化银CO2光纤激光或Nd:YAG气化,激光气止血。位置较深的病人在肛门镜下进行。结果28例病人经1—5次治疗,总有效率96%,安全,可靠,无并发症。结论:激光治疗尖锐湿疣被公认为简便及有效的方法之一,对肛管及直肠下端的尖锐湿疣,配光纤的激光治疗更有其独特优越性,如经窥镜下对目不可及的病灶更为简便有效。

【Abstract】 Objective :To analysis the distribution, concomitant of the acumination condyloma in anal canal -lower rectum. To evaluate the therapeutic effect of CO2 laser and Nd: YAG laser treatment. Methods: Local anesthesia by lidocaine. Vaporization by CO2 laser directly or by fiber optic Agcl CO2 laser in some cases. Nd: YAG. Laser was also used in vaporization or hemostasis. Some patients with deep lesion were undertaken through anoscope. Re-sults:28 patients were treated 1 to 5 times with efficacy of 96%. The methods are safe, reliable and with no complication. Conclusions:laser therapy has been widely accepted as a simple and effective method to treat acumination condyloma. Nd:YAG laser has its unique advantage in the treatment of acumination condyloma in anal canal - lower rectum, especially its simplicity and efficacy for the lesion in lower rectum through anoscope.

【关键词】 激光尖锐湿疣治疗
【Key words】 laser therapyacumination condylomatherapy
  • 【分类号】R454.2
  • 【被引频次】3
  • 【下载频次】24
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