CAJ | 학술논문

目的：通过对3种不同方法治疗肛周巨大尖锐湿疣的疗效对比分析，寻找更为有效的治疗手段。方法将64例肛周巨大尖锐湿疣随机分为A、B、C组。A组22例采用疣体基底部缝扎手术切除，局部干扰素注入；B组21例采用微波去除疣体后，局部干扰素注入；C组21例仅做疣体基底部缝扎手术切除，局部不作处理。详细记录各组治疗过程、痊愈时间、复发情况、治疗过程中出现的问题等，最终进行比较分析。结果治疗过程中，B组出血量明显小于A组及C组；3组间创面愈合时间差异无统计学意义（ P＞0．05）；治疗结束时B组有效率（95．24％）明显优于A组（72．73％）及C组（42．86％），差异有统计学意义（ P＜0．05）。结论微波联合干扰素治疗肛周巨大尖锐湿疣，治疗过程出血较少、复发率低、治疗成本低，值得临床借鉴。
목적：통과대3충불동방법치료항주거대첨예습우적료효대비분석，심조경위유효적치료수단。방법장64례항주거대첨예습우수궤분위A、B、C조。A조22례채용우체기저부봉찰수술절제，국부간우소주입；B조21례채용미파거제우체후，국부간우소주입；C조21례부주우체기저부봉찰수술절제，국부불작처리。상세기록각조치료과정、전유시간、복발정황、치료과정중출현적문제등，최종진행비교분석。결과치료과정중，B조출혈량명현소우A조급C조；3조간창면유합시간차이무통계학의의（ P＞0．05）；치료결속시B조유효솔（95．24％）명현우우A조（72．73％）급C조（42．86％），차이유통계학의의（ P＜0．05）。결론미파연합간우소치료항주거대첨예습우，치료과정출혈교소、복발솔저、치료성본저，치득림상차감。
Objective To find out a more effective method by clinical comparative study of several different methods in treating perianal giant condyloma acuminata .Methods 64 patients with perianal giant condyloma acumi-nata were randomly divided into 3 groups ,A group (n=22) ,B group (n=21) and C group (n=21) .The patients of A group were injected interferon at bases after pointed condyloma has been resected .The patients of B group were treated with interferon on the basis of microwave operation .The patients of C group were treated with wart body re-section .During therapy ,a detailed record was made of in treatment process ,cure time ,recurrence and appearing prob-lems .Finally ,a comparative analysis was made of on the above results .Results The blood loss of B group was much less than that in A and C group .And there was no significant difference(P>0 .05) in the wound healing time in the three groups .The effective rate of B group (95 .24% ) was higher than that of A group (72 .73% ) and C group (42 .86% ) at the end of treatment ,with significant difference (P<0 .05) .Conclusion The treatment of microwave curing united interferon is effective ,less bleeding ,low recurrence rate and decreases the cost of medical treatment .It deserves the clinical reference in perianal giant condyloma acuminata .