摘要
为探讨尖锐湿疣（ＣＡ）的最佳诊断和治疗方法，对可疑病人取活检进行病理和免疫组化检查，并在阴道镜下分型。选用三种治疗方法：三氯醋酸、微波和ＣＯ２激光、鸦胆子乳膏。结果显示：三氯醋酸对指状型和地毯型效果较好，治愈率１００％，平均治愈时间１６天，对菜花型效果较差；微波和ＣＯ２激光适用于各型患者；鸦蛋子乳膏仅对菜花型疗效好，治愈率１００％，平均治愈时间１０．３天，对指状型和地毯型无效。提示：免疫组化检查对ＣＡ的诊断具有灵敏度高和特异性强的优点，临床治疗时指状型和地毯型首选三氯醋酸，菜花型有条件者首选微波或激光，在基层可首选鸦胆子乳膏。
Objective:To study the best method of diagnosis and treatment of condyloma acuminata(CA).Design:Biopsy of suspicious patients were taken for pathological and histochemical examination.The 169 diagnosed patients accepted coloposcopy examimation and were divided into different types.Three methods including trichloracetic acid(TCA),microwave or CO 2 laser and Java brucea paste were used to treat different types.Results:TCA painting was effective to fingered and carpet type and the cure rate was 100%.The mean cure time was 16 days.Microwave and laser were suitable to all types.Java brucea paste was valid only for cauliflower type and the cure rate was 100%.The mean cure time was,10.3 days.Conclusion:The immunohistochemical technique was sensitive and specific to CA diagnosis.In clinical treatment,TCA painting should be first selected to the fingered and carpet types.To cauliflower one,microwave or laser should be taken in cities,while Jave brucea paste in rural area. \ \
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
1998年第2期91-92,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
尖锐湿疣
三氯醋酸
外阴
治疗
诊断
Condyloma acuminata\ \ Immunohistochemical\ \ Trichloracetic acid\ \ Microwave\ \ Java brucea
