女性尖锐湿疣86例临床病理分析  

Clinical Analysis of 86 Cases with Condyloma Acuminatum

作　　者：曾雨[1] 蔡美琼[1] 罗肖萍[2] 

机构地区：[1]广州医学院第一附属医院妇产科 [2]广州医学院第一附属医院病理科

出　　处：《广州医学院学报》1993年第3期57-59,共3页Academic Journal of Guangzhou Medical College

摘　　要：本文报告了我科自1989年10月至1991年10月经病理证实尖锐湿疣86例临床表现与治疗经验.患者年龄最小21岁,最大52岁,平均年龄28岁。发生在外阴部68例、阴道部6例、宫颈12例,合并念珠菌感染41例,夫妻湿疣23对。诊断以好发部位,典塑皮损和病理相结合,开展HPV抗原检测,以提高诊断准确率。治疗方法包括电灼、手术和局部涂药等方法,同时治疗合并症。妊娠合并尖锐湿疣,尽量终止妊娠,亦可严密观察下继续妊娠,只作局部治疗。尖锐湿疣与癌有一定关系,普遗认为HPV是生殖道癌病因之一。86 patients with condyloma acuminatum confirmed by pathology were studied. All the patients were admitted to our hospital during the period from October 1989 to October 1991. The age distribution was 21～25 years (mean age 28 years). The warts occurred on vulva in 68 patients, inside vagina in 6 patients, and on cervix in 12 patients. 41 cases were complicated with monilial infection. Spouse eondyloma aeuminatum occurred in 23 couples. Diagnosis was dependent on the prediloction site, typical skin damage and pathology. HPV antigen detection might helpful in improving the diagnostic accuracy. Treatment methods included electrocaterization, operation and topical administration of drugs. Complications should be treated at the same time. Termination abortion was recommended if condyloma aeuminatum occurred during pregnancy. Continuation of pregnancy should be under special observation and with local treatment. Condyloma acuminatum is to some extent related to carcinoma. It is generally accepted that HPV is one of the causative agents of carcinoma of the reproductive tract.

关 键 词：尖锐湿疣 性传播疾病 人乳头瘤病毒 念球菌感染 

分 类 号：R[医药卫生]