包皮内板全切除术治疗老年尖锐湿疣111例临床观察

Clinical Analysis of the Treatment of Preputial Resection for Elderly Condyloma Acuminatum

目的观察包皮内板全切除术在老年(≥60岁)尖锐湿疣治疗中的临床疗效。方法选取老年男性尖锐湿疣患者111例,随机分为3组。治疗组(36例):予包皮内板切除,对照1组(40例):予高频电离子去除疣体;对照2组(35例):予传统的包皮切除术。治疗后随访3个月,观察3组的复发率、术后并发症和阴茎外观满意度。结果治疗组累计复发率为13.89%,对照1组为42.50%,对照2组为17.14%,治疗组复发率低于对照1组(P<0.01)。并发症发生率:治疗组为5.56%,对照1组为70.00%,对照2组为97.14%,治疗组低于两对照组(P<0.01)。阴茎外观满意度:治疗组为94.44%,对照1组为30.00%,对照2组为28.57%,治疗组高于两对照组(P<0.01)。结论包皮内板全切除术治疗老年尖锐湿疣复发率低、术后并发症少、阴茎外观满意度高,值得临床应用。

Objective To analysis the treatment of total preputial resection for elderly（ ≥60 years） condyloma acumi- natum. Methods One hundred and eleven cases of elderly male condyloma acuminatum were randomly di- vided into 3 groups ：treatment group（36 patients） was given the prepuce resection, control group 1 （40 pa- tients） was given high-frequency eleetricion to remove warts, control group 2 （35 patients） was given the tra- ditional prepuce resection. The three groups were followed up at 3 months after treatment, the efficacy, re- currence rate, postoperative complications and penile appearance satisfaction were evaluated. Results The cumulative recurrence rate of the treatment group was 13.89%. The cumulative recurrence rate of the control group 1 was 42. 50% , and the control group 2 was 17.14%. The cumulative recurrence rate of the treatment group was less than control grup 1 （ P 〈 0. 01 ）. As for complication rate, the treatment group was 5.56% , the control group 1 was 70.00%, and the control 2 group was 97. 14%. The complication rate of the treat- ment group was less than two control groups （P 〈 0. 01 ）. As for satisfaction of penile appearance, the treat- ment group was 94. 44% , the control group 1 was 30.00%, and the control 2 group was 28.57%. The treat- ment group was more satisfied than two control groups（ P 〈 0.01 ）. Conclusion The treatment of total pre- putial resection for elderly condyloma acuminatum have such advantages as high efficacy, low recurrence rate, less postoperative complications, and high satisfaction of penile appearance, worthy of further promotion in clinical.