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[尖锐湿疣与分娩方式]

[Condylomata acuminata and mode of delivery].

作者信息

Lehnen H

机构信息

Abteilung Gynäkologie und Geburtshilfe der RWTH Aachen.

出版信息

Z Geburtshilfe Perinatol. 1988 Mar-Apr;192(2):96-9.

PMID:3400301
Abstract

Condyloma acuminatum is a widespread infectious disease which can be sexually transmitted. The virus responsible for this condition belongs to the family Papovaviridae. At onset of the disease small wart-shaped papules are found, which multiply to form a cauliflower-like or cockscomb-like mass. The present paper describes three caes in which cesarean section was performed because of severe genital invasion by condylomata acuminata. Eight weeks after delivery, there was a spontaneous regression of the condition in all three patients. So far no indication of a papillomavirus infection has been seen in any of the three female children at regular pediatric check-ups. Three additional therapeutic possibilities during pregnancy are described: electrocauterization, CO2 laser therapy, and cryotherapy. The efficacy of these types of therapy is discussed with reference to the literature. The goal of therapy is to prevent the newborn from contracting the disease by infection with papillomavirus in the birth canal.

摘要

尖锐湿疣是一种广泛传播的可通过性传播的传染病。引发这种病症的病毒属于乳头多瘤空泡病毒科。疾病初发时会发现小的疣状丘疹,这些丘疹会增多形成菜花状或鸡冠样肿物。本文描述了3例因尖锐湿疣严重侵犯生殖器而进行剖宫产的病例。分娩8周后,所有3例患者的病情均自发缓解。到目前为止,在3名女童的定期儿科检查中均未发现乳头瘤病毒感染的迹象。文中还描述了孕期另外3种治疗方法:电灼术、二氧化碳激光疗法和冷冻疗法。参照文献对这些治疗方法的疗效进行了讨论。治疗的目的是防止新生儿在产道感染乳头瘤病毒而患病。

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