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[干扰素治疗尖锐湿疣]

[Interferon in the treatment of condylomata acuminata].

作者信息

Zwiorek L, Schmidt-Rhode P, Schulz K D

机构信息

Zentrum für Frauenheilkunde und Geburtshilfe der Philipps-Universität Marburg.

出版信息

Geburtshilfe Frauenheilkd. 1989 Nov;49(11):1001-5. doi: 10.1055/s-2008-1036856.

Abstract

In the present study we used the well known antiviral properties of interferon alpha 2b in condylomata acuminata. Firstly we investigated 3 different application forms. We found that 1. the local INF application in gel was completely ineffective, 2. the injection of INF into the base of the warts was effective but too painful for routine therapy, 3. the systemic treatment by s.c.-injection had an excellent compliance and a high efficacy. In the second part of the study we treated 16 patients with our own s.c.-regimen of 3 x 5 mill. U and 6 x 2 mill. U INF alpha 2b within 5 weeks. 60% showed a complete response, 30% a partial response; these were treated surgical afterwards. In none of the patients a relapse occurred at a median follow-up of 11 months. The observed side-effects were poor. We consider the systemic treatment with interferon for condylomata acuminata to be highly effective and well tolerated. The relapse rate is very poor.

摘要

在本研究中,我们利用了干扰素α2b在尖锐湿疣中众所周知的抗病毒特性。首先,我们研究了3种不同的应用形式。我们发现:1. 局部应用凝胶形式的干扰素完全无效;2. 将干扰素注射到疣体基部有效,但对常规治疗来说过于疼痛;3. 通过皮下注射进行全身治疗具有良好的顺应性和高疗效。在研究的第二部分,我们用自己的皮下注射方案,即5周内3次每次500万单位和6次每次200万单位的干扰素α2b,治疗了16名患者。60%的患者显示完全缓解,30%的患者部分缓解;之后对这些患者进行了手术治疗。在中位随访11个月时,没有一名患者复发。观察到的副作用较少。我们认为干扰素对尖锐湿疣的全身治疗非常有效且耐受性良好。复发率很低。

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