Anal warts are benign proliferative diseases of the skin caused by human papilloma virus, occurring in the anal and perianal skin mucosa warts; and recurrent attacks have the potential to become cancerous.
The incubation period of condyloma acuminata averages about 3 months, so the course of treatment is long and prone to recurrence. For various reasons, the proportion of patients in the normal population is increasing day by day, and many families are breaking up and couples are turning against each other for this reason. The only way to beat condyloma acuminata is to have a comprehensive understanding of the current treatment methods and the correct choice of scientific treatment methods.
I. Diagnostic points
1, the symptoms itching: into a limited, mostly due to changes in humidity, clothing friction and other triggers cause itching attacks. At night or quiet, itching intensifies, there is a burning sensation, ants feeling, lasting a long time. Light pain, bleeding, and exudation of fishy-smelling secretions.
2, physical signs The rash is initially light red or dirty red corn-like size redundant, soft in nature, slightly pointed at the tip, gradually growing or increasing, some isolated and scattered, some clusters arranged, adjacent to each other fusion, the surface is uneven, papilliform, cauliflower-shaped. The base is slightly wide or banded, with granules on the surface, and some roots have tips
Clinical stage
2, the middle stage is papillary, cauliflower-shaped warts, the number increases, the growth rate is fast.
3, late stage warts between the pus, ooze, bleeding, malodorous, and even cancer.
Three, the principle of treatment
The anal warts have a strong tendency to become cancerous and are considered to be pre-cancerous lesions, which should be treated with timely surgery.
1.Surgical treatment.
1) preoperative preparation scalpel, tissue forceps and high-frequency electric knife, and complex iodine, cotton balls, gauze, adhesive tape, lidocaine, etc.
2) Anesthesia method to choose local infiltration anesthesia.
3) Surgical position: Lateral or lithotomy position is acceptable.
4) surgical steps to complex iodine perianal disinfection 3 times, spread sterile towel, in the lateral or lithotomy position perianal local anesthesia, smaller warts with high-frequency electric knife will be cauterized one by one to remove the warts, warts larger in the base of the warts have a scalpel to the skin deep cut to the dermis, after surgery covered with dressings fixed, after surgery will be excised tissue sent to pathological examination.
5) Surgical precautions Use high-frequency electric knife surgery and scalpel surgery to protect the healthy skin, if the range of warts is large masses, cauliflower-shaped skin damage is heavy, you can consider batch treatment to ensure the integrity of the anal skin.
2, post-operative Chinese and Western medicine treatment.
1) fumigation can be used with amaranth 60g, big green leaf 30g, alum 20g, Tu Fu Ling 60g, plate blue root 60g, first fumigation after sitz bath, 2 – 3 times a day.
2) Local topical medication Topical application of 5% fluorouracil ointment is the main treatment.
3) Local injectable medication Interferon preparations are commonly used in clinical practice, and also useful for scrubbing. The main role of interferon is antiviral and immunomodulation. Note that the application of interferon should be timely check liver function and kidney function.
Four, prevention
1, vigorously promote health knowledge, so that people understand the danger of the disease and the transmission channels.
2, strengthen legal education, stop sexual promiscuity.
3.Strengthen the sanitary management of baths, swimming pools, hotels and other public places to avoid indirect contact infection.
4.Cultivate good hygiene habits in general and keep the perineum clean.