Inventory: Physical therapy for genital warts

　　1. Laser treatment: It is suitable for superficial genital warts on the vulva and around the anus; it is characterized by quick results, and the warts can fall off during treatment. Carbon dioxide laser is commonly used to cauterize warts. Generally, the warts can fall off in just one session. However, because the laser beam is too concentrated, laser treatment is only suitable for genital warts with smaller warts. If the warts are larger, laser treatment will easily relapse. The cure rate can reach 80%.

　　2. Surgical curettage method: During treatment, remove the diseased area with your left hand skin Or the mucous membrane is tight, or you can hold a sterilized curette and use a little force to scrape off the diseased tissue from the root; completely remove the residual diseased tissue on the wound surface, and then apply 33% trichloroacetic acid solution or pure carbonic acid solution or 3% ferric chloride solution to the local area.

　　3. Drug treatment: for smaller and less severe damage. (1) 5% 5-Fu ointment 5-Fu is a commonly used anti-tumor drug. It can inhibit cell proliferation and effectively quantity It is relatively mild and usually requires 2 to 3 weeks of treatment. (2) Acetic acid: Trichloroacetic acid is a strong acid that can be used to cauterize warts and is generally used to treat type II lesions. Before application, use a cotton ball soaked with 2% caine and apply it to the lesion for 3 to 5 minutes. Then, use a cotton swab soaked with 50% trichloroacetic acid to smear the lesion so that the solution reaches the base. When applying, be careful not to damage the surrounding mucosal tissue. Do not use it during menstruation. Use the medication twice a week. Or use 20% salicylic acid glacial acetic acid for external application.

　　4. Microwave treatment: This is a treatment method that emerged after the 1990s. Its principle is to use high-frequency vibration of microwaves to evaporate the water inside the warts and cause them to become necrotic and fall off. The characteristic of microwave treatment is that the warts are completely destroyed and are unlikely to relapse, but the wound recovery is slow and secondary infection is prone to occur. Therefore, microwave treatment is particularly suitable for treating large, isolated and scattered warts. At the same time, it should be kept away from the frenulum to prevent damage to the foreskin frenulum and affect the frenulum. male sexual function.

　　5. Surgical excision: Surgical excision can be considered for large, isolated warts with pedicles. Surgical removal of genital warts is generally not recommended because after surgical treatment, genital warts can easily recur, causing treatment failure. However, surgical removal may be considered for larger pedunculated warts or those with suspected malignant transformation. In some patients, genital warts grow too rapidly or are as large as cauliflower, making other treatments difficult and surgical treatment may be considered. To prevent recurrence, other treatments are provided after surgery. Depending on the wart mass and coverage area, choose lesion resection or vulvar resection.

　　6. Cryotherapy: Liquid nitrogen Or freeze with carbon dioxide dry ice to make the wart tissue (that is, the damaged part of the skin) necrotic. Genital warts are benign proliferations of the skin and mucous membranes caused by infection with the genital warts virus. It has a large number of small blood vessels that proliferate rapidly. Freezing method can be used to freeze the condyloma acuminata, forming a localized height of the tissue. Edema , thereby destroying the wart. The biggest advantage of cryotherapy is that it leaves no local traces and the cure rate is about 70%. During the treatment process, except for local redness, swelling, pain and blistering reactions, there are generally no obvious sequelae. Spray method or direct contact method can be used, which is suitable for flat and small warts. Generally, it is frozen once a week, 2 to 3 times in a row. General post-treatment.

　　7. Surgical ligation method: It is suitable for a single small lesion with barium. After local disinfection and local anesthesia, use tweezers to lift the wart tissue, use hemostatic forceps to clamp the root, and then use No. 1 silk thread to tie the base. Generally, the wart will fall off 3-5 days after ligation. Traditional physical therapy methods, such as freezing, laser, electrocautery, surgery, etc., can only destroy the surface tissue of warts, and additional antiviral treatment must be given after surgery. This causes great pain to the patient, long treatment time, and is expensive. It is also prone to recurring attacks due to the decline of the body's own immunity.

　　8. Electrocautery treatment: Electrocautery is an older treatment method. In the past, dermatologists used high-frequency electrosurgery or soldering irons to cauterize common warts, nevus and other skin tags. It is characterized by simple operation and quick results. High-frequency electrosurgery can directly remove and dry warts, and the treatment is more thorough. However, electric cauterization of sores heals more slowly. To sum up, electrocautery treatment can be used to treat any genital warts, but it requires high technical skills on the part of the operator. Excessive or insufficient cauterization can be harmful. At the same time, pay attention to aseptic operation to prevent infection. High-frequency electrosurgery or electroacupuncture is more suitable for treating smaller lesions on the cervix or vagina. Larger warts require electrocautery in batches.

　　If treated solely with laser and other methods, 47.5% of patients will relapse after seven days, leaving scars, which will affect the normal married life after recovery and bring long-term mental pain to the patients. Trizoacetic acid, or other corrosive and strong compounds, are used to simply corrode and eliminate warts. Although the effect is quick and the price is low, like physical therapy, although it can eliminate warts in a short period of time, it treats the symptoms rather than the root cause and is very easy to repeat.

　　In response to this situation, our hospital launched the "wart vaccine" therapy. That is: after physical therapy to remove the warts, deep intramuscular injection of the purified product developed by our hospital to address the characteristics of condyloma acuminata that are difficult to cure and easy to relapse. vaccine , received satisfactory curative effect.