论文部分内容阅读
目的探讨CO2激光治疗伴艾滋病毒(Human immunodeficiency virus,HIV)的肛管尖锐湿疣(condyloma acuminatum,CA)的临床疗效。方法回顾性分析2010年1月至2012年6月,肛管CA患者262例,其中18例患者HIV感染。将患者分为两组,肛管CA伴HIV感染者18例,单纯肛管CA感染者244例,均采用CO2激光治疗后,比较两组患者的病情严重程度和临床平均治愈次数。结果肛管CA伴HIV感染组病情程度平均计分2.77分,单纯肛管CA组病情程度平均计分2.47分,两组患者病情程度平均计分比较,差异有显著意义(P<0.05)。两组患者治疗痊愈所用平均治疗次数,HIV感染组为5.1次,单纯肛管CA组3.0次,差异有显著意义(P<0.05)。结论肛管CA伴HIV感染者病情严重程度和临床平均治愈次数高于不伴HIV感染者。
Objective To investigate the clinical efficacy of CO2 laser in treating condyloma acuminatum (CA) with human immunodeficiency virus (HIV). Methods A retrospective analysis of January 2010 to June 2012, 262 patients with anal canal CA, 18 patients with HIV infection. The patients were divided into two groups: anal canal CA with HIV infection in 18 cases and simple anal canal CA infection in 244 cases. All patients were treated with CO2 laser and the severity of the two groups and the average number of clinical cure were compared. Results The score of severity of anal canal CA with HIV infection was 2.77 on average, and 2.47 on average in simple anal canal CA group. There was significant difference (P <0.05) between the two groups on average scores of illness severity. The mean number of treatments for the two groups was 5.1 times for HIV infection and 3.0 for simple anal CA group (P <0.05). Conclusion The severity of anal canal CA with HIV infection and the average number of clinical cure are higher than those without HIV infection.