Miralles María José Chiva, Igual Jose Maria Blasco, Romero Cecili Macián, Sales Enrique Sanchis, Gomariz Carmen García, Vallés Adrián Jorda
Department of Nursing University of Valencia Valencia Spain.
Department of Physiotherapy University of Valencia Valencia Spain.
Health Sci Rep. 2025 Apr 29;8(5):e70776. doi: 10.1002/hsr2.70776. eCollection 2025 May.
Plantar warts are a high reason for consultation in our daily clinic. There are multiple and varied treatments to eliminate this viral tumor in the foot, although each treatment also presents different results and effectiveness. The goal was to compare the efficacy of surgical treatment vs. conservative treatment of plantar warts, in aspects such as treatment time and number of cures.
This was a cohort study with a sample of 72 lesions ( = 72). The effectiveness of plantar wart surgery was evaluated and compared to conservative treatments (nitric acid, bleomycin, and a combination of both). Conservative treatments were applied once a week until complete healing. The surgical removal of the wart and its closure was a secondary intention.
Overall, 30% of the injuries were treated surgically and the rest conservatively. The clinical resolution varied between 4 and 393 days, with a mean of 51.8 (SD 65.9) days. Conservative treatment times increase by 1.9 days compared to the surgical recovery time, which on a practical level means 21.9 days compared to 70.1 days.
The excision of the plantar wart reduces the duration of the treatment by around 50% compared to conservative treatments; these findings could be considered in clinical practice when choosing a treatment.
跖疣是我们日常门诊中患者前来咨询的一个重要原因。虽然有多种不同的治疗方法来消除足部的这种病毒性肿物，但每种治疗方法的效果和有效性也各不相同。本研究的目的是比较手术治疗与保守治疗跖疣在治疗时间和治愈次数等方面的疗效。
这是一项队列研究，样本为72个病灶（n = 72）。评估了跖疣手术治疗的有效性，并与保守治疗（硝酸、博来霉素以及两者联合）进行比较。保守治疗每周进行一次，直至完全愈合。疣的手术切除及其闭合为二期愈合。
总体而言，30%的病灶接受了手术治疗，其余采用保守治疗。临床治愈时间在4至393天之间，平均为51.8天（标准差65.9）。与手术恢复时间相比，保守治疗时间延长了1.9天，实际而言，保守治疗时间为70.1天，手术恢复时间为21.9天。
与保守治疗相比，跖疣切除术可使治疗时间缩短约50%；在临床实践中选择治疗方法时可参考这些研究结果。
