Singh Sehdev, Neema Shekhar
Senior Adviser (Dermatology), Command Hospital (Eastern Command), Kolkata, India.
Classified Specialist (Dermatology), Command Hospital (Eastern Command), Kolkata, India.
Med J Armed Forces India. 2020 Apr;76(2):156-160. doi: 10.1016/j.mjafi.2018.11.005. Epub 2019 Apr 15.
BACKGROUND: Warts or verrucae are benign proliferations of the skin and mucosa resulting from infection with papilloma viruses. Warts form a small subset of patients attending skin out-patient department (OPD), out of which the plantar warts are one of the common presentation. The present study is an attempt to compare two modalities of treatment that is electrosurgery and cryotherapy in patients with plantar warts. There are no studies available where comparison of complications between two modalities has been done in plantar warts thus making it one of unique studies of its kind. METHODS: A prospective, comparative study was conducted over a period of 6 years. After exclusion criteria, one hundred forty-seven male patients having plantar warts were included in the study. Selection of patients suffering from warts subjected to treatment was done by simple random selection. After treatment, 39 patients were lost to follow-up, and finally 48 patients treated by electrosurgery and 60 by cryotherapy were compared and analysed statistically for response to treatment and incidence of complications. RESULTS: The overall clearance rate was 75% in electrosurgery versus 73.3% in cryotherapy patients. The pain, delayed wound healing and scarring were observed significantly in more patients treated with electrosurgery than cryotherapy. In our study, recurrence at 24 weeks was observed in 21.9% of the electrosurgery patients which was slightly higher than cryotherapy, where it was 16.6%. CONCLUSION: This study highlighted that cryotherapy is quick, safe and comparatively painless procedure with less complications with success almost similar to electrosurgery making it more suitable for plantar warts.
背景:疣是由乳头瘤病毒感染引起的皮肤和黏膜良性增生。疣在皮肤科门诊患者中占一小部分,其中跖疣是常见的表现形式之一。本研究旨在比较两种治疗方式,即电外科手术和冷冻疗法,用于治疗跖疣患者。目前尚无研究对跖疣这两种治疗方式的并发症进行比较,因此本研究是同类研究中的独特之一。 方法:进行了一项为期6年的前瞻性比较研究。在排除标准后,147名患有跖疣的男性患者被纳入研究。通过简单随机选择确定接受治疗的疣患者。治疗后,39名患者失访,最终对48名接受电外科手术治疗的患者和60名接受冷冻疗法治疗的患者进行比较,并对治疗反应和并发症发生率进行统计学分析。 结果:电外科手术的总体清除率为75%,而冷冻疗法患者为73.3%。与冷冻疗法相比,接受电外科手术治疗的患者中,更多患者出现了疼痛、伤口愈合延迟和瘢痕形成。在我们的研究中,电外科手术患者在24周时的复发率为21.9%,略高于冷冻疗法患者的16.6%。 结论:本研究强调,冷冻疗法是一种快速、安全且相对无痛的治疗方法,并发症较少,成功率与电外科手术相近,使其更适合治疗跖疣。
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