Analysis: Three cases of genital warts

　　Genital warts (CA), also known as warts acuminata, sexually transmitted diseases Warts and acuminata are epidermal tumor-like proliferations caused by human papillomavirus (HPV) infection of the human body and are closely related to sexual contact infection. disease。

　　1 Case introduction

　　Example 1, female, 19 years old. There were 4 growths ranging in size from soybeans to red dates at 3 o'clock, 5 o'clock, 8 o'clock and 11 o'clock around the anus. They were cauliflower-shaped, papilloma-shaped, white or light red, and some of the lesions had ulcerated surfaces and purulent secretions.

　　Example 2, female, 24 years old. There were 6 isolated nipples or cauliflower-like growths around the anus, which were light red in color, as big as strawberries, and as small as mung beans. Some of the growths had punctate bleeding on their surfaces.

　　Example 3, female, 26 years old. symptom Similar to Example 1 and Example 2.

　　2 treatments

　　The patient lies on his elbows and knees, raising his buttocks to fully expose the affected area. For routine disinfection, inject 2% lidocaine (add an appropriate amount of 0.0%) at the base of the wart. 1% epinephrine hydrochloride) local anesthesia. Smaller warts are treated directly with surgical cauterization ； For larger warts, use surgical scissors to quickly cut off the wart along the root of the wart. Immediately use gauze containing 35% ferric chloride to compress and stop bleeding. Later, use a multifunctional ionization surgical treatment machine to clean the remaining skin lesions at the base of the wart. After the operation, antibiotic ointment is applied locally and bandaged.

　　Apply antibiotic ointment twice a day from now on. Instruct the patient to rinse with 1:8000 potassium permanganate solution after defecation every day to prevent infection. The wart tissue of 3 patients was cut and pathologically performed, and all were diagnosed as condyloma acuminatum without malignant transformation. At the same time, drug treatment is required to reduce recurrence.

　　3 Discussion

　　All three patients had a history of unclean sexual intercourse, which was the main factor leading to the disease. exist clinical During treatment, small warts can be treated directly with electric ion cauterization after routine disinfection and local anesthesia. Larger warts have a rich blood supply, so using ion therapy alone will cause more intraoperative bleeding and take a long time, making treatment more difficult. If surgical resection is performed, scars are likely to remain after surgery.

　　If scars remain after multiple surgical resections around the anus, the contraction function of the anal sphincter will be affected. We use 2% lidocaine and an appropriate amount of 0.1% epinephrine for local anesthesia, which can shrink local small blood vessels and reduce bleeding during the treatment. We use gauze containing 35% ferric chloride to compress the wound, which also has a hemostatic effect. We used this method to remove the warts of 3 patients one by one. No scars were found during subsequent re-examinations.

　　This treatment method has less intraoperative bleeding, shorter time, and is easier for patients to accept. This treatment method is also suitable for the treatment of larger genital warts in other parts of the body.