첨규콘딜롬 편집하기 (부분)

====시술자치료법 (외래치료법)====

*냉동 치료,Podophyllin 10-25%, Bi- or trichloracetic acid (BCA or TCA) 80-90% 이 추천된다.<ref name="Cryotherapy versus electrocautery in the treatment of genital warts.">Simmons PD, Langlet F, Thin RN. Cryotherapy versus electrocautery in the treatment of genital warts. Br J Vener Dis 1981;57:273-274. </ref><ref name="Cryotherapy compared with trichloroacetic acid in treating genital warts.">Godley MJ, Bradbeer CS, Gellan M, Thin RN. Cryotherapy compared with trichloroacetic acid in treating genital warts. Genitourin Med 1987;63:390-392. </ref><ref name="Treatment of external genital warts comparing cryotherapy (liquid nitrogen) and trichloroacetic acid.">Abdullah AN, Walzman M, Wade A. Treatment of external genital warts comparing cryotherapy (liquid nitrogen) and trichloroacetic acid. Sex Transm Dis 1993;20:344-345. </ref>(근거수준 1)

*Podophyllin resin은 전신독성 등의 심각한 부작용 가능성으로 첨규콘딜롬 치료제로 더 이상 권장되지 않는다.<ref name="Neurologic manifestations of podophyllin toxicity.">Filley CM, Graff-Richard NR, Lacy JR, et al. Neurologic manifestations of podophyllin toxicity. Neurology 1982;32:308–11. </ref><ref name="Delayed recognition of podophyllum toxicity in a patient receiving epidural morphine.">Conard PF, Hanna N, Rosenblum M, et al. Delayed recognition of podophyllum toxicity in a patient receiving epidural morphine. Anesth Analg 1990;71:191–3. </ref><ref name="Podophyllum: suspected teratogenicity from topical application.">Karol MD, Conner CS, Watanabe AS, et al. Podophyllum: suspected teratogenicity from topical application. Clin Toxicol 1980;16:283–6. </ref>(근거수준 3)

*외래치료 시 통증 경감을 위해 리도카인 국소 마취나 리도카인과 프릴로카인 크림 혼합물이 사용될 수 있다. 

*광범위한 생식기, 회음부 혹은 항문사마귀에는 전기소작술, CO2레이저소작술, 수술적 제거 등이 권장된다.<ref name="Human Papillomavirus Infection: A Clinical Atlas">Gross GE, Barasso R, eds. Human Papillomavirus Infection: A Clinical Atlas. Wiesbaden: Ullstein Mosby; 1997. </ref>(근거수준 3)

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