论文部分内容阅读
2010年12月~2013年6月,南昌市医学科学研究所附属医院收治尿道尖锐湿疣患者13例,入院后经术前准备,腰麻后经电切镜下应用等离子对患者进行治疗,术中直接切除尿道尖锐湿疣病灶,电凝病灶周围0.5cm黏膜,术后行5-氟尿嘧啶尿道内灌注治疗,定期复查膀胱镜。13例尖锐湿疣患者均一次手术成功,无出血、无穿孔。术后定期行膀胱镜尿道检查,4例患者3个月内复发,再次治疗后治愈,其余患者无复发,疗效满意。尿道尖锐湿疣是尖锐湿疣中一种少见的类型,以往治疗主要采用开放手术,术后易出现尿道穿孔、尿道狭窄等并发症,术后易复发,相比下,经尿道等离子切除联合术后5-氟尿嘧啶尿道内灌注治疗尿道尖锐湿疣是一种安全有效的微创疗法。
From December 2010 to June 2013, 13 cases of urethral condyloma acuminatum were admitted to Affiliated Hospital of Nanchang Institute of Medical Sciences. After admission, the patients were treated by plasma under the condition of preoperative preparation and spinal anesthesia, Direct removal of urethral condyloma lesions, coagulation lesions around the 0.5cm mucosa, postoperative 5-fluorouracil perfusion therapy, regular review cystoscopy. Thirteen patients with condyloma acuminatum were operated successfully, without bleeding and without perforation. Cystoscopy urethra routine examination after surgery, 4 patients relapsed within 3 months, again cured after treatment, the remaining patients without recurrence, the effect is satisfactory. Urethral genital warts is a rare type of condyloma acuminata, the treatment of the past mainly by open surgery, postoperative urethral perforation, urethral stricture and other complications prone to postoperative relapse, compared to transurethral resection of the plasma combined with postoperative 5 Fluorouracil intraurethral infusion of urethral condyloma acuminata is a safe and effective minimally invasive therapy.