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表面放射治疗(SRT-100)治疗难治性足底疣:一种替代的非侵入性治疗策略。

Superficial radiotherapy (SRT-100) for refractory plantar warts: An alternative noninvasive treatment strategy.

机构信息

Department of dermatology, Wuhan NO.1 Hospital, Wuhan, Hubei, China.

出版信息

J Cosmet Dermatol. 2024 May;23(5):1766-1770. doi: 10.1111/jocd.16157. Epub 2024 Jan 30.

Abstract

BACKGROUND

Verrucas that occur on the soles of the feet are called plantar warts, most of which can recur repeatedly and are difficult to eradicate. Hypertrophic and refractory plantar warts are often accompanied by pain and discomfort, which cause many inconveniences in patients' daily lives.

AIM

This study aimed to analyze the therapeutic effect of superficial radiotherapy (SRT-100) on refractory plantar warts and further create favorable conditions for the subsequent treatment of this disease with a high recurrence rate.

METHODS

A retrospective analysis was conducted for refractory plantar warts treated with superficial radiotherapy in our outpatient department from January to June 2023.

RESULTS

A total of 30 patients were included in our study (median age, 33 years). The female-to-male ratio was 1:3.29. Two to six months after radiotherapy, all of the warts subsided in 23 (76.67%) patients, most of the warts subsided in 4 (13.33%) patients, 3 (10%) patients did not respond to treatment, and 7 (23.33%) patients had recurrent or new warts after their warts subsided.

CONCLUSIONS

Most patients with refractory plantar warts improved after superficial radiotherapy. Our study presented that men are more susceptible to plantar warts than women, and young and middle-aged people are the main population affected by the disease. Superficial radiotherapy is an effective treatment for refractory plantar warts, which can quickly remove the warts in a short period. It is safe and noninvasive, with minimal adverse reactions. Some patients relapse after the lesion is clear, and superficial radiotherapy can create favorable conditions for the subsequent treatment of viral warts in clinical practice.

摘要

背景

足底发生的寻常疣称为跖疣,多数跖疣可反复发作,难以根治。增生型、难治性跖疣常伴有疼痛不适,给患者日常生活带来诸多不便。

目的

本研究旨在分析浅层放射治疗(SRT-100)对难治性跖疣的治疗效果,为该病高复发率后续治疗创造有利条件。

方法

对 2023 年 1 月至 6 月我科门诊采用浅层放射治疗的难治性跖疣患者进行回顾性分析。

结果

共纳入 30 例患者(中位年龄 33 岁),男女比例为 1:3.29。2~6 个月后,23 例(76.67%)患者的疣全部消退,4 例(13.33%)患者大部分消退,3 例(10%)患者无反应,7 例(23.33%)患者疣消退后出现复发或新发疣。

结论

大多数难治性跖疣患者经浅层放射治疗后改善。本研究显示,男性比女性更容易患跖疣,且中青年人群是本病的主要发病人群。浅层放射治疗是难治性跖疣的有效治疗方法,可在短期内迅速去除疣体,安全无创,不良反应小。部分患者皮损消退后复发,浅层放射治疗可为临床治疗病毒性疣创造有利条件。

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