Condyloma acuminatum is a relatively serious sexually transmitted disease with a relatively high incidence and a certain degree of recurrence. In order to completely cure condyloma acuminatum, the symptomatic method should be adopted first. Surgery, laser treatment and other methods can be used according to the specific symptoms. In addition, attention should be paid to improving the level of immunity and private hygiene to actively prevent the recurrence of condyloma acuminatum. 1. Surgery Single, small warts can be removed surgically; giant condyloma acuminatum can be removed with Mohs surgery, during which frozen sections are used to check whether the damage has been removed cleanly. 2. Cryotherapy Using liquid nitrogen at a low temperature of -196℃, cryotherapy is used to treat condyloma acuminatum to promote the necrosis and shedding of wart tissue. This method is suitable for warts with a small number and small area. 1-2 treatments are feasible, with an interval of one week. 3. Laser therapy Condyloma acuminatum is usually treated with CO2 laser and ablation. This treatment is most suitable for warts on the vulva, penis or perianal area. Single or a small number of multiple warts can be treated once, while multiple or large warts can be treated 2-3 times, usually with an interval of one week. 4. Electrocautery Use high-frequency electroacupuncture or electrocautery to remove the warts. Method: Local anesthesia, followed by electrocautery. This treatment is suitable for small warts. 5. Microwave therapy Using a microwave surgical treatment machine and lidocaine local anesthesia, the tip of the rod-shaped radiation probe is inserted into the sharp wet wart base. When the wart becomes smaller, darker, and turns from soft to hard, the thermal radiation coagulation is complete and the probe can be removed. The coagulated lesions can be removed with tweezers. To prevent recurrence, the remaining base can be coagulated again. 6. Beta-ray therapy We have achieved satisfactory results in the treatment of condyloma acuminatum with β-rays. This method is highly effective, painless, harmless, has few side effects, and a low recurrence rate. It has clinical promotion value. 7. Drug therapy (1) Podophyllum resin: This treatment is suitable for warts in moist areas, such as warts on the glans penis and perineum due to excessive foreskin but without circumcision. However, podophyllum resin cannot be used to treat cervical apices warts. Apply 20% podophyllum resin tincture to the skin lesions or before using the medicine. First, use an oily antibacterial ointment to protect the normal skin or mucous membrane around the skin lesions, and then apply the medicine. After 4-6 hours, wash with 30% boric acid water or soapy water. If necessary, repeat the medicine after 3 days. This medicine is the first choice for the treatment of this disease abroad, and it can usually be cured after one use. However, it has many disadvantages, such as being highly destructive to tissues and causing local ulcers if used improperly. It is highly toxic, with the main symptoms being nausea, intestinal obstruction, leukopenia and thrombocytopenia, tachycardia, and auria or oliguria. Therefore, it must be used with caution. If the above reactions are detected, the drug should be discontinued immediately. (2) Antiviral drugs: 5% phthalamide cream or 0.25% herpes clean ointment can be used, applied externally twice a day. Acyclovir can be taken orally, 5 times a day, 200 mg each time, or its ointment can be used externally. α-interferon can be injected 3 million units daily, five days a week. Or 3 million units of interferon can be injected into the base of the wart, twice a week. Use for 2-3 weeks. The main side effect is influenza-like syndrome. The side effects of local medication are fewer and milder. |
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