1例尖锐湿疣合并糖尿病患者的临床治疗分析

Analysis of Clinical Treatment of One Patient with Condyloma Acuminatum Complicated with Diabetes

目的:分析1例尖锐湿疣合并糖尿病患者抗尖锐湿疣治疗的效果及其机制,为该类病例的临床治疗提供参考。方法:患者因外阴部周围出现多个疣体且逐渐增多而来院就诊,检查后确诊为尖锐湿疣,考虑患者有2型糖尿病基础,临床在维持降糖治疗的情况下,采用外用咪喹莫特联合温热疗法进行抗尖锐湿疣治疗。结果:治疗第3周可见部分疣体开始萎缩,而第6~8周大部分疣体均已被清除,至第9周疣体完全消失,遂停止治疗;随后6个月后,门诊复查和电话随访,均未见复发。结论:对于该例尖锐湿疣合并糖尿病患者,温热疗法联合咪喹莫特取得了较好的治疗效果,不仅没有造成任何创伤,还未见复发。

Objective:To analyze the effect and mechanism of anti-condyloma acuminatum treatment in one patient with condyloma acuminatum complicated with diabetes,and to provide reference for the clinical treatment of such cases.Methods:The patient came to the hospital for treatment because multiple warts appeared around the vulva and gradually increased.After examination,the patient was diagnosed as condyloma acuminatum.Considering that the patient has type 2 diabetes,under the condition of maintaining hypoglycemic treatment,topical imiquimod was combined with thermotherapy for anti-condyloma acuminatum.Results:In Week 3 of treatment,some warts began to shrink,and most warts had been cleared in Week 6 to Week 8.By Week 9,the warts had completely disappeared,so treatment was stopped.Six months later,outpatient reexamination and telephone follow-up showed no recurrence.Conclusion:For this patient with condyloma acuminatum complicated with diabetes,thermotherapy combined with imiquimod has achieved a good therapeutic effect,with no trauma and no recurrence.