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The characteristics of acumination condyloma in different region,the operating method and treatment of laser medicine are des- cribed emphatically. 本文着重强调了不同部位尖锐湿疣的特点、操作要领和治疗方法。 Objective :To analysis the distribution, concomitant of the acumination condyloma in anal canal -lower rectum. To evaluate the therapeutic effect of CO2 laser and Nd: YAG laser treatment. Methods: Local anesthesia by lidocaine. Vaporization by CO2 laser directly or by fiber optic Agcl CO2 laser in some cases. Nd: YAG. Laser was also used in vaporization or hemostasis. Some patients with deep lesion were undertaken through anoscope. Re-sults:28 patients were treated 1 to 5 times with efficacy of 96%. The... Objective :To analysis the distribution, concomitant of the acumination condyloma in anal canal -lower rectum. To evaluate the therapeutic effect of CO2 laser and Nd: YAG laser treatment. Methods: Local anesthesia by lidocaine. Vaporization by CO2 laser directly or by fiber optic Agcl CO2 laser in some cases. Nd: YAG. Laser was also used in vaporization or hemostasis. Some patients with deep lesion were undertaken through anoscope. Re-sults:28 patients were treated 1 to 5 times with efficacy of 96%. The methods are safe, reliable and with no complication. Conclusions:laser therapy has been widely accepted as a simple and effective method to treat acumination condyloma. Nd:YAG laser has its unique advantage in the treatment of acumination condyloma in anal canal - lower rectum, especially its simplicity and efficacy for the lesion in lower rectum through anoscope. 目的:本文用CO_2激光和Nd:YAG激光治疗肛管及直肠下端尖锐湿疣,并对分布、伴发部位、激光治疗方法及疗效进行分析。方法用2%利多卡因注射液局部浸润麻醉,CO_2激光直接气化,少数病人用卤化银CO_2光纤激光或Nd:YAG气化,激光气止血。位置较深的病人在肛门镜下进行。结果28例病人经1—5次治疗,总有效率96%,安全,可靠,无并发症。结论:激光治疗尖锐湿疣被公认为简便及有效的方法之一,对肛管及直肠下端的尖锐湿疣,配光纤的激光治疗更有其独特优越性,如经窥镜下对目不可及的病灶更为简便有效。 Objective: To observe and study the effects and the methods in treatment of the acumination condyloma in ano-rectal , and / or lower rectum, hemorrhoid, and anal fistula. Methods: Local anesthesia by 2% lidocaine. Vaporization by Ho: YAG laser in 96 patients of acumination condyloma , 55 patients with anorectal polypi or anal papilla hypertrophy and 21 anal fistula. Concretion, hemostasis by the Nd: YAG laser in 84 patients with bleeding of internal hemorrhoid. Cut the external hemorrhoidal thrombosis... Objective: To observe and study the effects and the methods in treatment of the acumination condyloma in ano-rectal , and / or lower rectum, hemorrhoid, and anal fistula. Methods: Local anesthesia by 2% lidocaine. Vaporization by Ho: YAG laser in 96 patients of acumination condyloma , 55 patients with anorectal polypi or anal papilla hypertrophy and 21 anal fistula. Concretion, hemostasis by the Nd: YAG laser in 84 patients with bleeding of internal hemorrhoid. Cut the external hemorrhoidal thrombosis to remove the embolus by the intuitionistic laser. Those patients with deep lesions were undertaken through anoscope. Results: 96 patients of acumination condyloma were treated 1 to 6 times with efficacy of 100%, among 84 patients of bleeding internal hemorrhoid, the effective rate was 95% in one treatment, and it reached to 100% with two treatments. Other cases were cured with one treatment. Conclution: laser therapy has been an simple, safe, reliable treatment of a-nal disease with fiber conducted Ho: YAG laser and Nd: YAG laser and with no complication, especially for the deep lesions in lower rectum through anoscope. 目的:本文介绍用Ho:YAG激光、Nd:YAG激光等治疗肛周、直肠下端尖锐湿疣、痔疮、肛管息肉、肛乳头肥大、肛 瘘等疾患的疗效、方法和体会。方法:2%利多卡因局部浸润麻醉,分别Ho:YAG激光气化尖锐湿疣、肛管息肉、肥大的肛乳 头等;用.Nd:YAG激光治疗痔疮。对肛管、直肠下端位置较深病损的治疗在肛门镜下进行。共治疗肛管、直肠下端尖锐湿疣 96例、内痔出血84例、血栓性外痔48例、肛管息肉及肛乳头肥大患者55例、肛瘘21例。结果:尖锐湿疣患昔分别经过1-6 次治疗100%治愈;内痔1次治愈率达95%、2次治愈率100%;血栓性外痔、肛管息肉、肛乳头肥大、肛瘘均1次治愈,均无并 发症发生。结论:激光治疗肛周疾病简便安全、疗效可靠、无并发症。肛门镜下光纤传导的Ho:YAG激光、Nd:YAG激光使 肛管、直肠下端位置较深病损的治疗直观有效,值得推广。
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