Analysis: Two major complications of genital warts

　　This section introduces the prevention and treatment of bacterial infection, wound bleeding and erosion, which are common complications in the treatment of genital warts.

　　1. Wound bleeding and erosion

　　After genital warts are removed using topical therapy, cryotherapy or laser therapy, erosion or bleeding of varying severity may occur on the wound surface. Erosion shows no normal epidermis, exposing the moist surface, base and edges. skin They are all red, with varying amounts of exudate. The bleeding may be more obvious, such as damage to a larger blood vessel, or less obvious, such as a small amount of blood oozing, or blood stains or scabs on the gauze, underwear and other parts of the wound.

　　(1) Causes of erosion or bleeding:

　　Erosion often occurs after treatment with external products. Almost all external products will have erosion of varying degrees after removal of genital warts. In severe cases, erosion may occur. ulcer , which is caused by the properties of the drug itself. However, the degree of erosion can be controlled by people. For example, some doctors or patients do not have a clear understanding of the products they are using. They often use too much due to impatience, the scope of treatment is too large, and the frequency of use increases, which can cause obvious erosion or ulcers or cause local bleeding. Bleeding often occurs during or after laser surgery or curettage. The reasons are:

　　①Scabs fall off during wound cleaning；

　　②The wound is too large and deep, and the bleeding during the operation is not complete；

　　③If the patient moves too much or strenuously after surgery, the wounds may rub against the wounds or between the wounds and the normal skin, causing scabs to fall off.

　　(2) Prevention and treatment of erosion or bleeding:

　　①Postoperative patients should avoid strenuous activities and do less activity；

　　②When cleaning the wound after surgery, soak it mainly and use gentle movements to avoid friction.；

　　③For patients with large amounts of bleeding that are difficult to stop, in addition to using compression methods to stop bleeding, hemostatic drugs can also be used；

　　④The eroded surface should be kept clean and dry or a thin layer of antibiotic ointment can be applied. If the exudate is obvious, a wet compress such as normal saline can be used.；

　　⑤Do not be impatient when using external drug therapy. Apply the drug carefully according to the instructions for use. Do not overdose or cover an area that is too large.；

　　⑥During CO2 laser treatment, high-power laser or YAG laser should be selected for damage to areas rich in blood vessels, and treatment should be prevented from being too deep and the treatment area too large. Large blood vessels should be avoided during surgical removal of genital warts. Bleeding during the operation should be stopped by pressure. If bleeding from a large blood vessel is found, the blood vessel should be sutured to stop the bleeding and strive to be thorough and reliable.

　　2. Bacterial infection

　　Secondary bacterial infection after topical treatment of genital warts is one of the most common complications during the treatment of genital warts. secondary bacterial infection clinical The symptoms mainly occur in the treated area. In mild cases, local redness, swelling, a small amount of secretion, and slight pain may occur; in severe cases, local redness, swelling, suppuration, and obvious pain may occur; in severe cases, local symptoms may occur. swollen lymph nodes , pain and fever Wait for general discomfort.

　　(1) Causes of bacterial infection:

　　Complicated bacterial infections often occur after cryotherapy, laser therapy, surgical excision and other treatments for genital warts. The reasons are as follows:

　　①Incorrect treatment of wounds；

　　②Inadequate local cleaning and hygiene after treatment；

　　③The patient's immune function is reduced and the resistance is low；

　　④Genital warts cause greater damage and require larger and deeper treatment wounds.；

　　⑤If the patient does not pay attention to rest after treatment, the chance of local tissue friction will increase, further damaging the wound.

　　(2) Prevention and treatment of bacterial infections:

　　①Patients should take appropriate rest and reduce activities；

　　②Patients should strengthen nutrition and improve their own immunity and resistance；

　　③After bacterial infection occurs, systemic antibiotic treatment and local antibacterial drug treatment should be strengthened.；

　　④Before treating genital warts, the local skin should be cleaned, and local disinfection should be done before laser or surgical treatment.；

　　⑤After freezing, laser or surgery to treat genital warts, patients should pay attention to local hygiene and keep it dry. You can use 1:8000~1:10000 potassium permanganate solution to clean the local area. In addition, oral antibiotics can be given routinely for 3 days to prevent bacterial infection.