妊娠合并尖锐湿疣临床特点分析  

A Clinical Analysis of Condyloma Acuminatum with Pregnancy Female

作　　者：李佳玟[1] 林琼[1] 王俐[1] 

机构地区：[1]汕头大学医学院第一附属医院皮肤科,广东省汕头市515041

出　　处：《中国全科医学》2005年第22期1850-1851,共2页Chinese General Practice

摘　　要：目的探讨妊娠合并尖锐湿疣的临床特点、治疗及预后。方法对1999～2002年在汕头大学医学院第一附属医院就诊的36例妊娠合并尖锐湿疣的患者(研究组)和36例妊娠未合并尖锐湿疣的患者(对照组)的临床资料进行对比分析。结果研究组中疣体为巨块型者14例,对照组为4例,两组患者巨块型疣体的发生率间差别有显著性意义(P<0.05);两组巨块型疣体者手术切除时,出血量及术后伤口愈合时间间差别均有显著性意义(P<0.01)。两组患者疣体复发率间差别有显著性意义(P<0.05)。研究组新生儿未发现异常。结论妊娠合并尖锐湿疣的患者疣体易发展为巨块型、易复发,机体免疫能力下降、孕激素水平改变、局部皮肤黏膜的潮湿环境是影响孕妇尖锐湿疣治疗的重要因素,对孕妇尖锐湿疣的治疗最好先终止妊娠,珍贵儿可保留胎儿,继续妊娠。Objective To explore the clinical manifestation, treatment and prognosis of condyloma acuminatum with pregnancy female, Methods The clinical information of 36 pregnancy and 36 non-pregnancy with condyloma acuminatum in our department from 1999 to 2002 was analyzed. Results 14 cases had huge condyloma acuminatum in study group （38.9%）, which was significantly higher than that in control group （P〈0.05）. The blooding and recovery days in study group were significantly higher than those in control group when the operation was done （P〈0.01）. There was significant difference in the recurrence of condyloma acuminatum （P〈0.05）, In study group, the newborn was founded normal, Conclusion The condyloma acuminatum in pregnancy trimesters easily becomes huge, Recurrence is easily seen in pregnancy trimesters, The descent of immune function, the alteration of progestin lever and dump of the local mucocutaneous may be the important agents to affect grarida＇s therapy of condyloma acuminata, The patients with huge condyloma acuminatum in pregnancy should give up pregnancy. But the precious infants may be retained, they can continue pregnant.

关 键 词：尖锐湿疣 妊娠期 非妊娠期 

分 类 号：R752.53[医药卫生—皮肤病学与性病学]