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1985年11月～1986年4月,我们共诊治了58例外阴尖锐湿疣患者,其中5例行激光烧灼治疗,53例用5％5-氟脲嘧啶霜外搽治疗。经追踪随访,18例患者因妊娠或自行停药而未能完成治疗,35例患者按规则用药,坚持1～3个月,得到了较好的疗效。现将系统治疗的35例及激光治疗的5例情况报告如下。一、临床资料按皮肤粘膜损害形态分型:粟粒状丘疹型6例;丝状分枝丛簇型(含粟粒状丘疹型)30例;菜花型、团块型4例。病期1月～1年不等。二、治疗方法 1.激光治疗:局部常规消毒,1％普鲁卡因润浸麻醉,然后用CO_2激光烧灼。术后用1:5000高锰酸钾溶液坐浴或抹洗外阴,每日1～2次,连续3～4天。术后一个月、三个月、半年分别复查一次。
From November 1985 to April 1986, we treated 58 patients with vulvar condyloma acuminatum, of whom 5 received laser ablation and 53 received 5% 5-fluorouracil cream. Follow-up, 18 patients failed to complete the treatment because of pregnancy or self-medication, 35 patients according to the rules of medication, adhere to 1 to 3 months, got a good effect. Now 35 cases of systemic treatment and laser treatment of 5 cases are as follows. First, the clinical data according to the morphological classification of skin and mucous membrane lesions: miliary papilloma in 6 cases; filamentous branches cluster type (miliary papules) in 30 cases; cauliflower-type in 4 cases. Illness from January to 1 year range. Second, the treatment 1. Laser treatment: local routine disinfection, 1% procaine immersion anesthesia, and then CO_2 laser cautery. Postoperative 1: 5000 solution of potassium permanganate bath or wipe the vulva, 1 or 2 times a day for 3 to 4 days. After a month, three months, six months were reviewed again.