To compare the efficacy and safety of CO_(2)laser plus 5-aminolevulinic acid(ALA)photodynamic therapy(PDT)with CO_(2)laser for the treatment of multiple condyloma acuminatum(CA),120 patients with multiple CA were allo...To compare the efficacy and safety of CO_(2)laser plus 5-aminolevulinic acid(ALA)photodynamic therapy(PDT)with CO_(2)laser for the treatment of multiple condyloma acuminatum(CA),120 patients with multiple CA were allocated into two groups—combined group(CO_(2)laser plus ALA-PDT,n=60)and CO_(2)laser group(CO_(2)laser plus placebo-PDT,n=60).After CO_(2)laser,a 20%ALA or a placebo solution was applied to the CA area 3 h before illumination with red light(635 nm,100mW/cm^(2),80 J/cm^(2)).The treatment was repeated seven days after the first treatment if the lesions were not completely resolved.The complete response rate,recurrence rate and adverse effects in the two groups were analyzed.After two treatments,the complete response rates in the CO_(2)laser group and combined group were 100%(509/509)and 100%(507/507)in the CA(p>0:05),respectively.The recurrence rates in the CO_(2)laser group and combined group were 44.9%(229/509)and 10.6%(54/507)in the CA(p<0:05),respectively.The adverse effects in CO_(2)laser group was more than that in combined group.The combined group is a more effective treatment for multiple CA compared with CO_(2)laser group.T/S.Style the highlighted text as abstract.展开更多
Objective: To evaluate the therapeutic effect of Nd:YAGlaser under urethroscope for the treatment of intraurethralCandyloma Acuminata (CA) in males. Method: Nd:YAG laser under urethroscope was employed toremove the wa...Objective: To evaluate the therapeutic effect of Nd:YAGlaser under urethroscope for the treatment of intraurethralCandyloma Acuminata (CA) in males. Method: Nd:YAG laser under urethroscope was employed toremove the warts. Result: Seventeen patients out of eighteen cases with CAwere cured after the first procedure. The cure rate was 94.4%.For second treatment, the cure rate was 100% and no relapseoccurred after observation for 12-24 months. Conclusion: Nd:YAG laser by urethroscope is a very goodmethod for treatment of intraurethral CA.展开更多
目的检测尖锐湿疣(condyloma acuminate,CA)患者血清中辅助性T淋巴细胞(helper T cell,Th细胞)相关细胞因子的表达水平,探讨其在CA发病机制中可能的作用,揭示CA患者全身的免疫状态。方法分别采集40例CA患者和20名健康对照者外周血,采用...目的检测尖锐湿疣(condyloma acuminate,CA)患者血清中辅助性T淋巴细胞(helper T cell,Th细胞)相关细胞因子的表达水平,探讨其在CA发病机制中可能的作用,揭示CA患者全身的免疫状态。方法分别采集40例CA患者和20名健康对照者外周血,采用高通量抗体芯片技术检测CA患者及健康对照者外周血血清中Th细胞相关细胞因子表达水平。结果CA患者外周血血清中Th1型细胞因子干扰素(IFN)-γ、白细胞介素(IL)-2、肿瘤坏死因子(TNF)-α表达水平分别为(5.11±3.44)pg/ml、(4.44±2.53)pg/ml、(30.16±7.38)pg/ml,较健康对照组(9.5±3.77)pg/ml、(8.26±3.26)pg/ml、(37.06±12.16)pg/ml降低;Th2型细胞因子IL-4表达水平为(4.18±2.29)pg/ml,较健康对照组(2.07±1.10)pg/ml升高;Treg型细胞因子IL-10、转化生长因子(TGF)-β表达水平分别为(2.03±1.01)pg/ml、(904.67±317.91)pg/ml,较健康对照组(1.26±0.71)pg/ml、(648.96±180.34)pg/ml升高;Th17型细胞因子IL-17及IL-23表达水平分别为(1.39±0.23)pg/ml、(172.98±42.56)pg/ml,较健康对照组(1.62±0.44)pg/ml、(204.23±48.88)pg/ml降低;以上差异均有统计学意义(均P<0.05)。结论Th1/Th2、Th17/Treg型细胞因子交互作用失衡很可能是CA重要的免疫学发病机制之一。CA患者存在全身性的细胞免疫功能紊乱。展开更多
基金This research was funded in part by the National Natural Sciences Foundation of China(No.30872272 and No.30872273)by the program for New Century Excellent Talents from Ministry of Education of China(NCET-09-0390).
文摘To compare the efficacy and safety of CO_(2)laser plus 5-aminolevulinic acid(ALA)photodynamic therapy(PDT)with CO_(2)laser for the treatment of multiple condyloma acuminatum(CA),120 patients with multiple CA were allocated into two groups—combined group(CO_(2)laser plus ALA-PDT,n=60)and CO_(2)laser group(CO_(2)laser plus placebo-PDT,n=60).After CO_(2)laser,a 20%ALA or a placebo solution was applied to the CA area 3 h before illumination with red light(635 nm,100mW/cm^(2),80 J/cm^(2)).The treatment was repeated seven days after the first treatment if the lesions were not completely resolved.The complete response rate,recurrence rate and adverse effects in the two groups were analyzed.After two treatments,the complete response rates in the CO_(2)laser group and combined group were 100%(509/509)and 100%(507/507)in the CA(p>0:05),respectively.The recurrence rates in the CO_(2)laser group and combined group were 44.9%(229/509)and 10.6%(54/507)in the CA(p<0:05),respectively.The adverse effects in CO_(2)laser group was more than that in combined group.The combined group is a more effective treatment for multiple CA compared with CO_(2)laser group.T/S.Style the highlighted text as abstract.
文摘Objective: To evaluate the therapeutic effect of Nd:YAGlaser under urethroscope for the treatment of intraurethralCandyloma Acuminata (CA) in males. Method: Nd:YAG laser under urethroscope was employed toremove the warts. Result: Seventeen patients out of eighteen cases with CAwere cured after the first procedure. The cure rate was 94.4%.For second treatment, the cure rate was 100% and no relapseoccurred after observation for 12-24 months. Conclusion: Nd:YAG laser by urethroscope is a very goodmethod for treatment of intraurethral CA.
文摘目的检测尖锐湿疣(condyloma acuminate,CA)患者血清中辅助性T淋巴细胞(helper T cell,Th细胞)相关细胞因子的表达水平,探讨其在CA发病机制中可能的作用,揭示CA患者全身的免疫状态。方法分别采集40例CA患者和20名健康对照者外周血,采用高通量抗体芯片技术检测CA患者及健康对照者外周血血清中Th细胞相关细胞因子表达水平。结果CA患者外周血血清中Th1型细胞因子干扰素(IFN)-γ、白细胞介素(IL)-2、肿瘤坏死因子(TNF)-α表达水平分别为(5.11±3.44)pg/ml、(4.44±2.53)pg/ml、(30.16±7.38)pg/ml,较健康对照组(9.5±3.77)pg/ml、(8.26±3.26)pg/ml、(37.06±12.16)pg/ml降低;Th2型细胞因子IL-4表达水平为(4.18±2.29)pg/ml,较健康对照组(2.07±1.10)pg/ml升高;Treg型细胞因子IL-10、转化生长因子(TGF)-β表达水平分别为(2.03±1.01)pg/ml、(904.67±317.91)pg/ml,较健康对照组(1.26±0.71)pg/ml、(648.96±180.34)pg/ml升高;Th17型细胞因子IL-17及IL-23表达水平分别为(1.39±0.23)pg/ml、(172.98±42.56)pg/ml,较健康对照组(1.62±0.44)pg/ml、(204.23±48.88)pg/ml降低;以上差异均有统计学意义(均P<0.05)。结论Th1/Th2、Th17/Treg型细胞因子交互作用失衡很可能是CA重要的免疫学发病机制之一。CA患者存在全身性的细胞免疫功能紊乱。
