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ALA—PDT治疗男性尿道口尖锐湿疣的疗效观察
引用本文:袁艳霞,徐春兴,田婷.ALA—PDT治疗男性尿道口尖锐湿疣的疗效观察[J].中国现代医生,2012,50(2):141-142.
作者姓名:袁艳霞  徐春兴  田婷
作者单位:江苏省常州市第一人民医院皮肤性病科,江苏常州,213000
摘    要:目的观察外用氨基酮戊酸光动力疗法(ALA—PDT)治疗男性尿道口尖锐湿疣的疗效和安全性。方法将72例男性尿道口尖锐湿疣患者随机分为ALA—PDT治疗组和CO2激光治疗对照组,每周治疗1次,不超过3次。末次治疗后1周进行疗效评价,随访12周观察皮疹复发情况及不良反应。结果末次治疗后1周,治疗组和对照组临床痊愈率均为100%(P〉0.05),治疗组复发率(11.1%)显著低于对照组(41.7%)(P〈0.01)。治疗组2例患者局部出现浅表糜烂,所有患者无瘢痕形成;对照组11例出现不同程度的瘢痕形成。结论外用ALA—PDT治疗男性尿道口尖锐湿疣治愈率高、复发率低、安全性好。

关 键 词:5-氨基酮戊酸  光动力疗法  尖锐湿疣  尿道口

Clinical observation of ALA-PDT in the treatment of urethal condyloma acuminatum
Authors:YUAN Yanxia  XU Chunxing  TIAN Ting
Affiliation:Department of Dermatology and Venereology,the First People’s Hospital of Changzhou,Changzhou 213000,China
Abstract:Objective To investigate the clinical efficacy and safety of 5-aminolevuinic acid photodynamic therapy(ALA-PDT) in the treatment of urethal condyloma acuminatum.Methods Seventy-two male patients with urethal condyloma acuminatum were randomly divided into ALA-PDT group and CO2 laser group.The treatment was repeated weekly and no more than 3 times.All patients were followed up for 12 weeks.The therapeutic effect and safty were evaluated.Results The cure rate were 100% of two groups at 1 week after the last treatment,and the recurrent rate of ALA-PDT group(11.1%) was significantly lower than that of the control group(41.7%)(P<0.01).2 patients in treatment group had superficial erosion,11 patients in control group had scar.Conclusion ALA-PDT is an effective and safe therapy with lower recurrence for the treatment of urethal condyloma acuminatum.
Keywords:Aminolevuinic acid  Photodynamic therapy  Condyloma acuminatum  Urethra
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