手术切削结合高频双极电凝治疗外阴巨大尖锐湿疣疗效探讨

The efficacy of genital giant condyloma acuminatum in the treatment with cutting operation combined with high frequency bipolar coagulation

目的:探讨手术切削结合高频双极电凝治疗外阴巨大尖锐湿疣临床疗效及复发率。方法:对34例外阴巨大尖锐湿疣采用先行手术从根部沿表皮切削,残留部分再采用高频双极电凝的方法烧除并止血,临床随访观察半年。结果:34例患者均采用手术结合高频双极电凝治疗,其中5例外阴巨大尖锐湿疣复发,7例感染,手术总的临床治愈率85%以上。结论:手术切削术结合高频电凝治疗外阴巨大尖锐湿疣具有创面清洁,出血少,痛苦小,恢复快,术后生殖器部位瘢痕表浅,功能结构无破坏,外形恢复效果好的特点,特别是对不宜采用激光、微波、电灼、冷冻以及外用药物的巨大尖锐湿疣患者具有较大的优势。

Objective： To investigate the clinical efficacy, relapse rate of genital giant condyloma acuminatum（CA） in the treatment with cutting operation combined with bipolar high frequency coagulation. Methods：There were thirty-four cases of giant CA located in the genital area, first cutting along the epidermis from the root of the wart with the scalpel, then according to the residual part, using bipolar high frequency coagulation to burn and stop bleeding, resulting in clean wound and less bleeding. Clinical observation was performed for six months. Results： Thirty-four patients were treated by the above-mentioned method, in which five cases relapsed, seven cases were infected, and the overall clinical cure rate was more than 85%. Conclusions： The treatment method of cutting operation combined with bipolar high frequency coagulation in genital giant CA has the characteristics such as less bleeding and pain, rapid recovery, superficial scarring in genital area after surgery, without damage to the function and structure, and good resumed shape. So in the patients with giant CA which can not easily using laser, microwave, electrocautery, freezing and topical drug, this treatment method may occupy a dominant position.