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1 临床资料1.1 一般资料 全部病例均为门诊妇科检查时发现,年龄16～48岁,年龄在26～27岁。肛周、阴道口、阴阜等部位生长毛刺状、鸡冠状或菜花状赘生物,大小不等,最大3cm×4cm。可单发或丛生,质脆易出血。所有病例均经外阴赘生物活切病理组织学检查确诊。1.2 治疗方法 采用长春产二氧化碳激光治疗仪,波长10.6μm,输出功率0～30W可调。手术时病人取膀胱截石位,局部利多卡因浸润麻醉,新洁尔灭棉球擦拭分泌物。病灶<0.5cm,直接采用气化凝固法,较大的在根部烧灼切割。病灶较大者,可分次切割,术后局部涂龙胆紫液或PP粉坐浴加红霉素软膏外涂,或以氦-氖激光散焦照射,以预防感染。间隔3～4周后可进行第2次治疗。
1 Clinical data 1.1 General information All cases are outpatient gynecological examination found that the age of 16 to 48 years old, aged 26 to 27 years. Perianal, vaginal mouth, mons pubis and other parts of the growth of burr-shaped, coronoid or cauliflower-like vegetations, sizes, the largest 3cm × 4cm. Can be single or clustered, crisp and easy bleeding. All cases were confirmed by vulvar neoplasm biopsy histological examination. 1.2 The treatment of carbon dioxide produced by Changchun laser therapeutic apparatus, wavelength 10.6μm, adjustable output power 0 ~ 30W. Surgery, patients with bladder lithotomy position, local lidocaine infiltration anesthesia, benzalkonium cotton ball wipe secretions. Lesions <0.5cm, direct use of gasification coagulation method, the larger burning in the root cutting. Larger lesions can be divided into sub-cut, post-painted local gentian violet solution or PP powder bath plus erythromycin ointment or helium-neon laser defocus irradiation to prevent infection. After an interval of 3 to 4 weeks for the second treatment.