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近几年来,我们采用手术加5-FU治疗尖锐湿疣38例,取得满意疗效,其中男29例,女9例;年龄最小21岁,最大74岁,平均28.6岁;单发于肛周者24例,单发于外生殖器者9例,外生殖器与肛周同时发病者5例。治疗方法:局部常规消毒后,用普通手术弯剪或眼科弯剪,平皮肤逐个剪除疣体,纱布压迫止血后,创面撒上5-FU粉或涂抹2.5%5-FU霜。纱布块覆盖,大胶布加压固定。术后每天清洗创面,换药一次,连续3d。疣体小,数量不多者,一般不需局麻。换药期间;如发现创面周围皮肤新生肉眼可见的疣体,及时同法剪除。治疗结果:38例中,一次治愈者32例,占84.2%;二次治愈者6例,占15.8%。
In recent years, we used surgery plus 5-FU in the treatment of condyloma acuminatum 38 cases, and achieved satisfactory results, including 29 males and 9 females; the youngest 21 years old, maximum 74 years old, with an average of 28.6 years; For example, in 9 cases of single external genitalia, external genital and perianal concurrently in 5 cases. Treatment: local routine disinfection, with ordinary scissors or eye surgery bending shear, flat skin one by one cut off the wart, gauze compression hemostasis, sprinkle the wound with 5-FU powder or smear 2.5% 5-FU cream. Gauze cover, large adhesive tape pressure fixed. After cleansing wounds every day, dressing change, continuous 3d. Wart body small, small number, generally do not need local anesthesia. Dressing period; found on the skin around the wound visible to the naked eye wart body, in time with the law cut. Treatment outcome: Among the 38 cases, 32 cases were cured at one time, accounting for 84.2%; 6 cases were cured at second time, accounting for 15.8%.