文章摘要

复发性尖锐湿疣的研究进展

作者: 1,2,3杨芸, 1张峰
1 哈尔滨医科大学附属第一医院皮肤科,哈尔滨 150001
2 泰康同济(武汉)医院皮肤科,武汉 430050
3 泰康同济(武汉)医院皮肤医学美容科,武汉 430050
通讯: 张峰 Email: pfzf1971@163.com
DOI: 10.3978/j.issn.2095-6959.2021.10.031

摘要

尖锐湿疣(condyloma acuminatum,CA)是由人乳头瘤病毒(human papillomavirus,HPV)感染所引起的性传播疾病,表现为泌尿生殖器、肛周皮肤、黏膜的良性疣状增生性病变。CA的基本治疗方式为去除可见疣体,例如使用外用药物(三氯乙酸、咪喹莫特等)、物理治疗[液氮冷冻、二氧化碳(CO2)激光、手术切除等]。CA患者虽经过清除疣体的治疗,但在临床中仍具有较高的复发率。CA的反复发作影响患者生理及心理健康,给患者的经济、生活造成巨大压力。CA常见复发因素包括亚临床感染状态、个体因素(不良生活习惯、免疫力低下、包皮过长等)、HPV相关因素、疣体因素及治疗方式等。目前临床中诊疗中已意识到预防CA复发的重要性,现已采用多种方式预防其复发,包括去除疣体后配合中药、自身疣体植入、联合使用干扰素及5-氨基乙酰丙酸+光动力(ALA+PDT)等。本文就CA的发病机制、影响CA的复发因素、复发性CA的治疗方法进行综述,旨在为临床工作提供参考,降低CA的复发率。
关键词: 尖锐湿疣;复发;影响因素;治疗方法

Research progress in recurrent condyloma acuminatum

Authors: 1,2,3YANG Yun, 1ZHANG Feng
1 Department of Dermatology, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
2 Department of Dermatology, Taikang Tongji Hospital, Wuhan 430050, China
3 Department of Dermatological Cosmetology, Taikang Tongji Hospital, Wuhan 430050, China

CorrespondingAuthor: ZHANG Feng Email: pfzf1971@163.com

DOI: 10.3978/j.issn.2095-6959.2021.10.031

Abstract

Condyloma acuminatum (CA) is a sexually transmitted disease caused by human papillomavirus (HPV) infection, manifested as benign verrucous hyperplastic lesions of the genitourinary, perianal skin, and mucous membranes. The basic treatment of CA is to remove visible warts, such as the use of topical drugs (trichloroacetic acid, imiquimod, etc.), and physical therapy [liquid nitrogen freezing, carbon dioxide (CO2) laser, surgical resection, etc.]. Although CA patients have been treated to remove the warts, they still have a higher recurrence rate in clinic. The repeated attacks of CA affect the patient's physical and mental health and cause great pressure on the economy and life. Common relapse factors of CA include subclinical infection status, individual factors (bad living habits, low immunity, excessive foreskin, etc.), HPV related factors, wart body factors, treatment methods, etc. At present, we have realized the importance of prevention of CA recurrence in clinical practice, and now we have adopted many ways to prevent CA recurrence, including removing warts with traditional Chinese medicine, self-wart implantation, combined use of interferon, 5-aminolevulinic acid + photodynamic (ALA + PDT), etc. In this paper, the pathogenesis, recurrence factors and treatment of recurrent CA were reviewed in order to provide reference for clinical work and reduce the recurrence rate of CA.
Keywords: condyloma acuminatum; recurrence; influencing factors; treatment

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