Photodynamic therapy: a boon for patients with condyloma acuminatum

  The incidence of condyloma acuminata as a common sexually transmitted disease has risen sharply, and most of the disease is transmitted through direct sexual contact, only a very small number of patients, especially those with relatively low immunity, such as those suffering from chronic diseases (diabetes, tumors), the elderly and infirm, children, etc. may also be transmitted through indirect contact with the disease, indirect contact may be related to sanitary appliances or Indirect contact may be related to the use of hygiene devices or products, sexual massage and health care devices, etc.
  With the development of medical technology, a new method has emerged, namely “photodynamic therapy”. This therapy is a new treatment technology that selectively destroys tumor tissues through photodynamic reaction by combining photosensitizers and corresponding light sources.
  
  
  
  Indications for photodynamic therapy
  1.Pre-cancerous skin diseases and skin malignant tumors, such as solar keratosis, basal cell carcinoma, squamous carcinoma.
  2.Treatment of non-malignant tumor skin diseases, such as acanthosis, vascular malformation, acne vulgaris.
  Three, the steps of photodynamic therapy
  1. The fresh medicinal solution will be prepared by the medical staff as it is used for the treatment.
  2, fresh solution wet compress the affected area for 3 hours, and according to the specific circumstances of the corresponding local sealing package.
  3, red light irradiation lesion local, irradiation time is usually 20 minutes.
  Fourth, the adverse effects of photodynamic therapy
  The most common adverse reaction is localized pinprick-like pain when illuminated, which can be tolerated by most patients, or will be relieved later on their own, generally without special treatment. Patients should be instructed not to be overly nervous, and for those with obvious pain, topical application of “compound lidocaine cream” may be used or the doctor should be notified for further special treatment.
  V. Treatment cost
  1, the cost of drugs: photosensitizer: topical aminoglutaric acid hydrochloride (Ala, ALA) each seven or eight hundred yuan.
  The general area is not very large acromegaly patients, each treatment using 1.
  2, the cost of treatment: ① laser irradiation fee of 160 yuan per time (our hospital this charge is lower than foreign hospitals, such as Beijing Union Hospital 300)
  The general local light time for 20 minutes; ② ordinary carbon dioxide laser treatment fee depending on the number of warts and parts of the discretion to charge, tens of dollars to hundreds of dollars ranging (our hospital are on the low charges).
  3, usually treated once a week, about half a day (eight to 8:30 a.m. dressing can be completed in the morning treatment, 11:00 to 11:30 dressing, the afternoon to irradiate laser); 2-3 times for a course of treatment.
  Six, photodynamic therapy precautions
  1, there are obvious warts visible to the naked eye, it is recommended to use carbon dioxide laser or freezing methods to remove warts and then photodynamic therapy, which can reduce the total cost of treatment, but also to improve the efficacy and shorten the total treatment time; special parts of the condyloma acuminata (such as warts occurring in the urethra, urethra, vulvar glands around the opening) is recommended to choose photodynamic therapy directly.
  2, in order to ensure the efficacy, it is recommended that 2-3 consecutive photodynamic therapy, such as no special each interval of 7-10 days.
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