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巨大尖锐湿疣又称Buschke-Lowenstem氏瘤由于穿透深部组织,在临床上以治疗困难易复发为特徵,作者见到4例,以高频电刀切除疣体,局部电凝,后于基底部注射聚肌胞,全部治愈,随访三年,未见复发,现报告如下: 一、临床资料 (2)4例皆为男性,年龄36～57岁,平均为42岁。全有性接触史。病期为半年～3年。发病部位在冠状沟及肛围受累者2例,冠状沟及肛围受累者各2例。 (2)皮损特点:发生于冠状沟者有多数拇指头及核桃大小带有蒂状的肿物;发生于肛周的,各侧有3×3(cm)大小的软性鸡冠状肿物,表面呈菜花状,皮损裂缝中有脓性分泌物,伴有恶臭。 (3)既往治疗情况:4例分别用过手术、冷冻、激光、电灼及聚肌胞肌肉注射、中药内服,但于术后10天,1～2个月内复发,有的皮损比原来病损扩大、增多。
Huge genital warts, also known as Buschke-Lowenstem’s tumor due to penetrate the deep tissue, the clinical treatment of difficult to relapse is characterized by the author saw 4 cases of high frequency electric knife removal of warts, local coagulation, after the basal Department Polygonatum injection, all cured, followed up for three years, no recurrence, are as follows: First, the clinical data (2) 4 cases are all men, aged 36 to 57 years, with an average of 42 years old. All-sexual contact history. Disease period of six months to three years. The incidence of parts in the coronary sulcus and anal involvement in 2 cases, coronal and anal involvement in 2 cases. (2) the characteristics of skin lesions: occurred in the coronary sulcus with the majority of the thumb and walnut size pedunculated mass; occurred in the perianal, each side has 3 × 3 (cm) size of soft chicken coronal , Cauliflower-like surface, purulent skin crevice secretions, accompanied by stench. (3) Previous treatment: 4 cases were treated with surgery, freezing, laser, electrocautery and polychaete injection, Chinese medicine orally, but in 10 days after surgery, 1 to 2 months recurrence, and some skin lesions than The original lesions expanded, increased.