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目的 :了解孕妇尖锐湿疣 (CA)患者的临床、治疗与预后。方法 :对 42例孕妇CA患者进行了临床与治疗观察。结果与结论 :患者平均年龄 2 5 8岁 ;孕期 1～ 8个月 ;CA病期 1～ 5个月。CA损害主要分布于大小阴唇和阴道口 ;损害主要类型为菜花状和结节状。 37例合并有阴道滴虫、霉菌等感染。全部患者选用CO2 激光治疗后大多数复发 ,复发者终止妊娠或剖腹产后部分患者CA自行消退 ,未愈者用CO2 激光去除疣体后加用聚肌胞等药物治疗痊愈。治疗方法选择受限 ,机体免疫机能下降 ,孕激素水平改变 ,局部潮湿等是影响孕妇CA治疗的重要因素。对孕妇CA的治疗应劝其尽早终止妊娠。
Objective: To understand the clinical, treatment and prognosis of pregnant women with condyloma acuminatum (CA). Methods: 42 cases of pregnant women with clinical and treatment of CA were observed. RESULTS AND CONCLUSION: The average age of patients was 2558 years old, pregnancy 1-8 months, and CA stage 1- 5 months. CA damage mainly in the size of the labia majora and vaginal orifice; the main types of damage cauliflower and nodular. 37 cases of vaginal trichomoniasis, mold and other infections. All patients choose CO2 laser treatment after most of the recurrence of relapse termination of pregnancy or caesarean section in some patients with CA self-subsidence, non-cured with CO2 laser removal of the wart plus polyp and other drugs cured. Limited treatment options, decreased immune function, changes in progesterone levels, local humidity is an important factor affecting pregnant women with CA treatment. The treatment of pregnant women CA should be advised to terminate the pregnancy as soon as possible.