ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ HẠT CƠM SINH DỤC Ở PHỤ NỮ CÓ THAI BẰNG LASER CO2

Abstract

Objective: To survey the clinical and paraclinical characteristics and results in treating genital warts in pregnant women with CO2 Laser. Subjects and methods: prospective intervention, controlled comparison, convenience sample including 60 pregnant women and 60 women with genital warts coming for examination and treatment at the National Dermatology Hospital and agreed to participate. Research from September 2022 to July 2023. Treatment of genital warts with CO2 laser ablation. Monitor treatment results until damage is gone. Results: In the group of pregnant women with genital wart disease in the age group ≤ 29 (83.4%) and the main source of infection is from sexual partners (66.7%). Most of the distribution of genital warts is in the vulva (87.5%). The low-risk HPV group accounts for 22.5%, the high-risk HPV group accounts for 15.0%. The most common types are type 6 (10.8%), type 16 (7.5%), type 11 (6.7%), and type 8 (6.6%). There are also types such as 40, 57, 61,71,33,39, 82. In pregnant women, most mild and moderate injuries can be treated once (Mild: 64, 9% Average: 56.3%), not having to be treated 4 times. The level of severe damage was treated from the second time. The number of patients cured gradually decreased from the first time (58.9%), the second time (28.6%), the third time (8.9%), the 4th time (3.6%). The treatment failure rate is 6.7%. Conclusion: The data in this study provide important evidence about the distribution of genital warts in pregnant women, mainly in the vulva (87.0%) and vagina (53.3%). The rate of severe damage (11.6%) leads to a higher rate of treatment sessions (phase 4: 3.6%) compared to the group of non-pregnant women.