Bellina J H
Am J Obstet Gynecol. 1983 Oct 15;147(4):375-8. doi: 10.1016/s0002-9378(16)32228-1.
This paper relates our comprehensive treatment and follow-up of 242 women with condyloma acuminatum over an 8-year period. Laser treatments were carried out at an average power density of 800 W/cm2. Thirty-five patients received a general anesthetic prior to treatment. All other patients were treated in the outpatient clinic. The majority of patients had multiple involvements: 38% had condyloma acuminatum located on the cervix, vulva, and vagina. All of the patients had at least 1 disease-free year following treatment(s) with the carbon dioxide laser; 65% of those treated had at least 2 disease-free years. In many cases, the men were found to have small papillary excrescences on the penis that were not readily diagnosed with the naked eye and were detected only after colposcopic magnification was used. Once the male partner was treated and the female partner was re-treated, the effective cure rate for 1 year was 97%.
本文讲述了我们在8年时间里对242例尖锐湿疣女性患者的综合治疗及随访情况。激光治疗的平均功率密度为800W/cm²。35例患者在治疗前接受了全身麻醉。所有其他患者均在门诊接受治疗。大多数患者有多处病灶:38%的患者尖锐湿疣位于宫颈、外阴和阴道。所有患者在接受二氧化碳激光治疗后至少有1年无病期;65%的接受治疗患者至少有2年无病期。在许多病例中,发现男性阴茎上有小的乳头状赘生物,肉眼不易诊断,只有在使用阴道镜放大后才能检测到。一旦男性伴侣接受治疗且女性伴侣再次接受治疗,1年的有效治愈率为97%。