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阴茎内镜检查在患有湿疣或发育异常病变女性性伴侣中的价值

[Value of penis endoscopy in sexual partners of women with condylomatous or dysplastic lesions].

作者信息

Spuhler S, Pasche N, Sauthier P, Chardonnens E, De Grandi P

机构信息

Département de Gynécologie-Obstétrique, Maternité, Lausanne, Suisse.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):660-4.

PMID:7995908
Abstract

TYPE OF STUDY

A retrospective study of 532 male sexual partners of patients who were examined for condylomatous or dysplasic lesions of the lower genital tract between January 1990 and June 1993.

AIM

To evaluate the balanoscopy examination. The value of this examination for the follow-up of papilloma virus and dysplasic lesions in women.

METHOD

Balanoscopy was performed after application of acetic acid (5%). Lesions were treated with viralytic agents or by CO2 laser destruction. Computer analysis of the data from the microscopic examination and treatment in partners was performed.

MAIN RESULTS

Globally, peniscopy revealed a papilloma virus lesion in 43.3% of the cases. Nevertheless, for infectious lesions (condylomas) in women, 63% of the women had a papilloma virus lesions.

CONCLUSION

Severe dysplasia of the penis is rare in our geographical area and balanoscopy is useful for the eradication of sexually transmitted diseases, sometimes for oncological examinations and to decrease the incidence of recurrent condylomatous or dysplasic lesions in women partners. Globally, the results are disappointing since the rate of recurrence was similar whether or not the male partner had been examined. The only difference was in case of rapid effective treatment in the partner which was obtained in 27% of the partners.

摘要

研究类型

一项回顾性研究,研究对象为1990年1月至1993年6月期间因下生殖道湿疣或发育异常病变接受检查的患者的532名男性性伴侣。

目的

评估阴茎镜检查。该检查对女性乳头瘤病毒和发育异常病变随访的价值。

方法

涂抹5%的醋酸后进行阴茎镜检查。病变采用抗病毒药物治疗或二氧化碳激光破坏。对性伴侣的显微镜检查和治疗数据进行计算机分析。

主要结果

总体而言,阴茎镜检查在43.3%的病例中发现乳头瘤病毒病变。然而,对于女性的感染性病变(湿疣),63%的女性有乳头瘤病毒病变。

结论

在我们所在地区,阴茎严重发育异常很少见,阴茎镜检查有助于根除性传播疾病,有时用于肿瘤学检查,并降低女性性伴侣复发性湿疣或发育异常病变的发生率。总体而言,结果令人失望,因为无论男性性伴侣是否接受检查,复发率都相似。唯一的差异在于27%的性伴侣获得了快速有效的治疗。

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