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目的观察包皮内板全切除术在老年(≥60岁)尖锐湿疣治疗中的临床疗效。方法选取老年男性尖锐湿疣患者111例,随机分为3组。治疗组(36例):予包皮内板切除,对照1组(40例):予高频电离子去除疣体;对照2组(35例):予传统的包皮切除术。治疗后随访3个月,观察3组的复发率、术后并发症和阴茎外观满意度。结果治疗组累计复发率为13.89%,对照1组为42.50%,对照2组为17.14%,治疗组复发率低于对照1组(P<0.01)。并发症发生率:治疗组为5.56%,对照1组为70.00%,对照2组为97.14%,治疗组低于两对照组(P<0.01)。阴茎外观满意度:治疗组为94.44%,对照1组为30.00%,对照2组为28.57%,治疗组高于两对照组(P<0.01)。结论包皮内板全切除术治疗老年尖锐湿疣复发率低、术后并发症少、阴茎外观满意度高,值得临床应用。
Objective To observe the clinical effect of total foreskin excision in the treatment of condyloma acuminatum in the elderly (≥ 60 years old). Methods Elderly male patients with genital warts in 111 cases were randomly divided into three groups. The treatment group (36 cases): the foreskin was excised, the control group 1 (40 cases): to remove the wart by high frequency ionization; control group 2 (35 cases): the conventional circumcision. After 3 months of treatment, the recurrence rate, postoperative complications and penile appearance satisfaction were observed. Results The cumulative recurrence rate was 13.89% in the treatment group, 42.50% in the control group 1 and 17.14% in the control group 2, and the recurrence rate in the treatment group was lower than that in the control group 1 (P <0.01). The incidence of complications was 5.56% in the treatment group, 70.00% in the control group 1, 97.14% in the control group 2, and lower in the treatment group than in the two control groups (P <0.01). The penis appearance satisfaction was 94.44% in the treatment group, 30.00% in the control group 1, 28.57% in the control group 2, and higher in the treatment group than in the two control groups (P <0.01). Conclusion The total foreskin resection of the treatment of senile condyloma acuminatum recurrence rate is low, less postoperative complications, penis appearance satisfaction, it is worth clinical application.