Treatment and follow-up of condyloma acuminatum

  The treatment of warts is based on the removal of local proliferative warts, together with local or systemic immune enhancing treatment.   1, local drug treatment: for the most commonly used methods, the efficacy is more certain.  (1) 0.5% tincture of haematoxylin: it can inhibit mitosis of epidermal cells and cause tissue necrosis, with little side effects. Apply the drug twice a day, 3 days as a course of treatment, repeat the drug requires an interval of 4 days or more than 4 days. The main side effects are mild local erythema, edema, erosion, and pain.  (2) 10%-25% tincture of foot leaf resin (or ethanol liquid): the same mechanism of action as the ghost moth toxin, but irritation, can cause systemic absorption of toxic reactions. Pregnant women and children are prohibited.  (3) 5% 5-fluorouracil: there are ointment and solution preparations, when used externally should pay attention to protect the normal skin.  For the treatment of male urethral warts, inject 12ml of the cream with a nozzle or apply it with a cotton swab 4 times a day after the bladder is emptied to avoid adhesions. For vaginal warts, wet gauze with 5% of the solution and insert it into the vagina for 2 hours.  (4) 25% to 50% trichloroacetic acid solution: this drug is not absorbed by the mucous membrane and skin, can be used for the treatment of warts in pregnant women. It is used once a day for 4 to 6 days, and can be used again at intervals of 1 week.  (5) Chinese medicine preparation (Paitling): this drug is developed by the Chinese Academy of Sciences, for pure Chinese medicine preparation, through the cytotoxic effect of inhibiting the proliferation of warts cells, and human papilloma virus (HPV) have inhibitory and killing effect. The actual fact is that you can find a lot of people who have been in the marketplace for a long time, and they’ve got a lot of people who have been in the marketplace for a long time. The drug is safer, less local adverse reactions and light.   (6) Imiquimod: a new topical immunomodulator, by inducing the body to produce interferon to play antiviral and anti-tumor ability, 3 times a week with the drug, a total of 4 months course of treatment.  2, physical therapy: is currently the main therapy to remove warts, the efficacy is certain.  (1) commonly used are CO2 laser, electric cautery or electric drying, freezing and microwave, etc.. Laser treatment warts removal rate is high, but the recurrence rate is also high, the urethral opening and anal canal warts recommended not to laser treatment, so as not to form scar stenosis; scar body patients to avoid using laser treatment.  (2) Ira photodynamic: special parts of the condyloma acuminata (such as warts occurring in the urethra, urethra, anal canal and around the opening of the vulva glands) can be directly selected Ira photodynamic therapy, good efficacy, recurrence less, no scar after treatment; after local laser or cryotherapy, warts often recurrence of patients, recommended local Ira photodynamic therapy 3-4 times.  3, local injection of drugs: can choose interferon, contend photomycin and 5-fluorouracil.  4, surgical treatment: for larger damage or foreskin multiple warts damage, it is appropriate to choose surgical treatment, such as circumcision.  5, systemic treatment: currently used in combination with local treatment, can play a supplementary therapeutic role. You can use polymyxin, interferon, thymidine intramuscular injection as appropriate.  Then again, it is important to follow up after the treatment of condyloma acuminata, which should be done regularly, especially in the first 3 months, because condyloma acuminata is prone to recurrence, and any treatment cannot completely guarantee that the HPV virus will not recur. The actual fact is that you can find a lot of people who have been in the marketplace for a long time.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.