Buckley D
The Ashe Street Clinic.
Ir Med J. 2000 Jul-Aug;93(5):140-3.
Plantar warts are common, painful and contagious. Because of their dept of penetration, self treatment with topical creams and gels is often very slow and commonly unsuccessful. Surgical excision or cautery are very painful, can leave permanent tender scars and often lead to relapse because of the Koebner phenomenon. 100 consecutive patients with plantar warts treated by one General Practitioner over a sixteen month period were analysed. Patients were followed up to assess success and relapse rates and the development of any complications. The number, type, size and position of plantar warts were also recorded and analysed. A total of 514 plantar warts presented for treatment. 505 Plantar Warts in 96 patients were considered suitable for treatment using liquid nitrogen cryosurgery via a Byrmill cryogun. Patients were treated by the open spray technique after debulking the plantar wart using a surgical blade. 421 plantar warts (83.5%) cleared completely with one single treatment of cryosurgery. A further 30 (6%) cleared with two treatments and another 15 (3%) cleared with three treatments. In total, 467 plantar warts (92.5%) cleared completely using cryosurgery and 90% of these cleared with one treatment. Of the remaining 38 plantar warts, 23 (4.5%) were lost to follow up and 12 (2.4%) were managed using other techniques after initially being treated with cryosurgery. Only 3 (0.6%) plantar warts failed to clear. However, all three were smaller and less painful after treatment. No patient had to be referred to hospital for treatment of their plantar warts. There were no serious complications of treatment. This study highlights the advantages of cryosurgery for treating plantar warts in general practice. This technique is quick, safe, highly successful, has a low relapse rate and leaves little or no scars.
跖疣很常见,会引起疼痛且具有传染性。由于其深入皮肤的程度,使用外用乳膏和凝胶进行自我治疗往往非常缓慢,而且通常不成功。手术切除或烧灼非常痛苦,会留下永久性的压痛疤痕,并且由于同形反应,常常导致复发。对一位全科医生在16个月内治疗的100例连续跖疣患者进行了分析。对患者进行随访以评估成功率、复发率以及任何并发症的发生情况。还记录并分析了跖疣的数量、类型、大小和位置。共有514个跖疣需要治疗。96例患者中的505个跖疣被认为适合使用拜尔米尔冷冻枪通过液氮冷冻手术进行治疗。在使用手术刀削薄跖疣后,采用开放喷雾技术对患者进行治疗。421个跖疣(83.5%)通过单次冷冻手术完全清除。另外30个(6%)经过两次治疗清除,还有15个(3%)经过三次治疗清除。总共467个跖疣(92.5%)通过冷冻手术完全清除,其中90%在一次治疗后清除。在其余38个跖疣中,23个(4.5%)失访,12个(2.4%)在最初接受冷冻手术后采用其他技术处理。只有3个(0.6%)跖疣未清除。然而,所有这3个在治疗后都变小且疼痛减轻。没有患者因跖疣治疗而需要转诊至医院。治疗没有严重并发症。这项研究突出了冷冻手术在全科医疗中治疗跖疣的优势。该技术快速、安全、成功率高、复发率低,并且几乎不留下或不留下疤痕。