二氧化碳激光治疗顽固性寻常疣：回顾性分析

Carbon dioxide laser-treatment of resistant verrucae vulgaris: retrospective analysis.

作者信息

Sloan K, Haberman H, Lynde C W

机构信息

Resident Department of Dermatology, Dalhousie University, Halifax, NS, Canada.

出版信息

J Cutan Med Surg. 1998 Jan;2(3):142-5. doi: 10.1177/120347549800200306.

DOI:10.1177/120347549800200306

PMID:9479079

Abstract

BACKGROUND

Verrucae are a very common dermatological problem that can be both painful and bothersome to the individual as well as costly to the health care system. In some cases verrucae can be notoriously resistant to therapy.

OBJECTIVE

To determine the cure rate, side effect profile, and overall satisfaction with CO2 laser treatment of recalcitrant verrucae vulgaris.

METHODS

A retrospective survey was sent to over 200 patients who had resistant verrucae vulgaris treated with the carbon dioxide laser at The Toronto Hospital (Western Division) from 1989 to 1994.

RESULTS

Ninety-two complete responses were received. The overall cure rate was 64.1% at 12 months. There was no significant difference in cure rates between single compared to multiple warts (p = .824 Fisher's exact test). The duration of the wart being present showed no difference in cure rate (p = .801 Fisher's exact test). The location of the wart also had no influence on the cure rate (p = .433 Fisher's exact test). Overall, 71.7% of the patients were happy with the laser treatment and 85.7% would have it done again.

CONCLUSION

The carbon dioxide laser is an effective treatment of resistant verrucae vulgaris.

摘要

背景

疣是一种非常常见的皮肤问题，对患者来说既会引起疼痛又会带来困扰，同时对医疗保健系统而言成本也很高。在某些情况下，疣对治疗可能具有 notoriously 的抗性。

目的

确定二氧化碳激光治疗顽固性寻常疣的治愈率、副作用情况及总体满意度。

方法

对1989年至1994年在多伦多医院（西区）接受二氧化碳激光治疗的200多名顽固性寻常疣患者进行了一项回顾性调查。

结果

收到92份完整回复。12个月时的总体治愈率为64.1%。单个疣与多个疣的治愈率无显著差异（p = 0.824，Fisher精确检验）。疣存在的时间长短在治愈率上无差异（p = 0.801，Fisher精确检验）。疣的位置对治愈率也无影响（p = 0.433，Fisher精确检验）。总体而言，71.7%的患者对激光治疗满意，85.7%的患者愿意再次接受治疗。