Aesthetic surrgery and Laser Department, 108 Military Central Hospital, Hanoi, Vietnam.
Laser Department, National Hospital of Odonto - Stomatology, Hanoi, Vietnam.
J Cosmet Laser Ther. 2022 Jul 4;24(1-5):28-32. doi: 10.1080/14764172.2022.2050761. Epub 2022 Jul 14.
Common warts (verruca vulgaris) are the most commonly seen benign cutaneous tumors occurring in both males and females of various ages. However, warts on the hands and feet (plantar warts and palmar warts) often respond poorly to traditional treatments such as topical salicylic acid, cryotherapy, surgical excision, electrocautery, and bleomycin injection. Recently, the long-pulsed 1064 nm Nd:YAG laser (LPNYL) has attracted attention in the treatment of palmoplantar warts. This study aims to evaluate the effectiveness of the LPNYL in the treatment of palmoplantar warts. We conducted a comparative cross-sectional descriptive study in 88 patients (49 males and 39 females) with palmoplantar warts. During the period from 2018 to 2020, the patients underwent up to three treatment sessions at intervals of 2-4 weeks between sessions. The LPNYL parameters comprised a spot size of 5 mm, 30 ms pulse width, 1 Hz repetition rate, and a fluence range of 140-180 J/cm. The patient mean age was 29.0 ± 14.5 years (range, 4-66 years). Good results were seen in 72.9% (64/88) of patients. The remaining 27.1% (24/88) felt their treatment was unsuccessful. As for adverse events, 5 (5.6%) patients reported hemorrhagic blistering after treatment. At the 3- and 6-month follow-up assessments, no recurrence was seen (Figures 2-4). Our study showed that the LPNYL treatment was safe and effective in the majority of palmoplantar warts. The duration of treatment was shorter than most traditional methods; however, the limitations of this method are that the treatment required several sessions, the procedure was painful, and adverse events occurred in just over 5% of the patients.
常见疣（寻常疣）是最常见的良性皮肤肿瘤，发生于各年龄段的男性和女性。然而，手部和足部的疣（跖疣和掌疣）通常对传统治疗方法如局部水杨酸、冷冻疗法、手术切除、电烙术和博来霉素注射反应不佳。最近，长脉冲 1064nmNd:YAG 激光（LPNYL）在治疗掌跖疣方面引起了关注。本研究旨在评估 LPNYL 治疗掌跖疣的疗效。我们对 88 例（49 例男性和 39 例女性）掌跖疣患者进行了一项比较性横断面描述性研究。在 2018 年至 2020 年期间，患者每 2-4 周接受一次治疗，最多进行三次。LPNYL 参数包括光斑大小 5mm、30ms 脉冲宽度、1Hz 重复率和 140-180J/cm 的能量密度。患者平均年龄为 29.0±14.5 岁（范围 4-66 岁）。64/88（72.9%）例患者疗效良好。其余 27.1%（24/88）例患者认为治疗无效。至于不良反应，5（5.6%）例患者治疗后出现出血性水疱。在 3 个月和 6 个月的随访评估中，未见复发（图 2-4）。本研究表明，LPNYL 治疗大多数掌跖疣安全有效。治疗持续时间短于大多数传统方法；然而，这种方法的局限性在于治疗需要多次治疗，过程痛苦，只有超过 5%的患者出现不良反应。
