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目的:探讨运用聚焦超声治疗外阴尖锐湿疣的临床疗效。方法:经病理活检证实的外阴尖锐湿疣患者108例,随机等数量分配至超声组和激光组(对照组),利用海极星(Seapostar)超声波妇科治疗仪进行治疗,激光组采用CO2激光治疗机进行治疗,观察两种方法治疗前后患者症状和体征变化。并取超声治疗前后的疣体作病理活检,由此评价分析聚焦超声治疗外阴尖锐湿疣的临床疗效和病理变化。结果:1、超声组中经1次超声扫描即痊愈者49例,有效率为90.7%(49/54)。激光组的治疗有效率为68.5%(37/54)。两组治疗效果有极显著性差异(P<0.01)。2、外阴尖锐湿疣疣体经聚焦超声治疗后的大体病理与组织病理变化明显,主要表现为萎缩现象。结论:治疗剂量的聚焦超声治疗外阴尖锐湿疣疗效肯定、治愈率高、安全、无创,可作为临床治疗的方法之一。
Objective: To investigate the clinical effect of using focused ultrasound to treat genital warts. Methods: A total of 108 patients with condyloma acuminatum confirmed by pathology biopsy were randomly assigned to the ultrasound group and the laser group (control group). The patients were treated with Seapostar ultrasonic gynecological therapeutic apparatus. The laser group was treated with CO2 laser treatment machine For treatment, observe the two methods before and after treatment of patients with symptoms and signs of change. And take the wart before and after ultrasound treatment for biopsy, which evaluates and analyzes the clinical effect and pathological changes of focused ultrasound treatment of genital warts. In the ultrasound group, 49 cases were cured by one ultrasound scan, the effective rate was 90.7% (49/54). The laser treatment efficiency was 68.5% (37/54). There was a significant difference between the two groups (P <0.01). 2, V genital warts wart after focal ultrasound treatment of gross pathology and histopathological changes significantly, mainly for the phenomenon of atrophy. Conclusion: Therapeutic dose of focused ultrasound treatment of genital warts affirmative effect, high cure rate, safe, non-invasive, can be used as one of the methods of clinical treatment.