CO_(2)点阵激光技术治疗外阴硬化性苔藓的临床研究

Clinical study on CO_(2) lattice laser technology for the treatment of vulvar sclerotic lichen

目的探究CO_(2)点阵激光技术在外阴硬化性苔藓治疗中的临床效果。方法选择本院60例外阴硬化性苔藓病变患者为研究对象,采用随机数字表法分为试验组和对照组,每组30例。对照组采用糖皮质激素+中成药泡洗,试验组采用CO_(2)点阵激光治疗。比较两组治疗前后外阴瘙痒、皮肤颜色、裂口、性交疼痛变化评分,评估临床疗效及复发时间。结果治疗后,两组外阴瘙痒、皮肤颜色和性交疼痛评分均低于治疗前,且试验组低于对照组(P<0.05)。试验组治疗总有效率高于对照组(P<0.05)。结论CO_(2)点阵激光治疗外阴硬化性苔藓患者临床疗效较好,能显著改善患者的外阴瘙痒、皮肤颜色和性交疼痛等症状,可视为外阴硬化性苔藓的一种有效治疗手段,值得在临床进一步推广与应用。

Objective To explore the clinical efficacy of CO_(2) lattice laser technology in the treatment of vulvar sclerosing lichen.Methods 60 patients with vulvosclerotic lichen lesions in our hospital were selected as the study subjects.They were randomly divided into an experimental group and a control group using a random number table method,with 30 cases in each group.The control group was treated with glucocorticoid+traditional Chinese patent medicines and simple preparations,and the test group was treated with CO,dot matrix laser.Compare the scores of changes in external genital itching,skin color,tear,and sexual intercourse pain before and after treatment between two groups to evaluate clinical efficacy and recurrence time.Results After treatment,the scores of external genital itching,skin color,and sexual intercourse pain in both groups were lower than before treatment,and the experimental group was lower than the control group(P<0.05).The total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05).Conclusion CO_(2) lattice laser treatment has a good clinical efficacy in patients with vulvar sclerosing lichen,which can significantly improve symptoms such as vulvar itching,skin color,and pain during sexual intercourse.It can be regarded as an effective treatment method for vulvar sclerosing lichen,and is worthy of further promotion and application in clinical practice.