顽固性足底角化病(鸡眼)的手术切除:范围界定综述。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Ian N Reilly, Belinda Longhurst, Tracey C Vlahovic
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引用次数: 0

摘要

背景:角化过度是一种肥厚性皮肤增生。胼胝(tyloma)被认为是弥漫性增厚,而粟粒状角化病(又称clavus、heloma durum或难治性足底角化过度症(IPK))则是一种病灶性、周缘性角化过度病变,中央有圆锥形角质核心。由于疼痛和不适,人们通常会寻求治疗(包括手术切除)足底角化病。本研究旨在收集和记录有关手术切除足底鸡眼的数据。然后将新出现的主题绘制成图,以便为今后的研究领域提出建议:采用 Arksey 和 O'Malley 提出的六阶段方法框架(除第 6 阶段外),并结合《系统综述和元分析首选报告项目扩展》的范围界定综述报告指南,对文献进行了范围界定综述。通过英国国家健康服务护理高级数据库搜索,共搜索到 1,056 篇文章,其中 12 篇似乎具有潜在相关性。在删除了五篇重复文章后,文章总数减少到七篇,并以全文形式进行了检索。其中三篇被排除在外。通过谷歌学术(Google Scholar)和全文检索到的参考文献列表,又找到了 13 篇文章,从而得到了 17 篇可供查阅的文章。其中一篇文章因不是英文/不相关而被剔除;一篇文章与 IPK 切除术无关,剩下 15 篇文章用于数据提取:结果:对所收录的文章进行迭代图表分析,得出了重叠的代码和两个主要的主题。第一个主题是闭合:主要意图(带或不带皮瓣)或次要意图。第二个主题是切除术是否与其他(骨性)手术同时进行:有少量证据表明,切除病灶并进行原发闭合或通过继发意向愈合可用于治疗 IPK。另一个考虑因素是新出现的一种假设,即许多 IPK 起源于病毒,而非机械性,这意味着需要进行前瞻性研究,交叉参考解剖部位的病灶切除和组织病理学确诊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Excision of Intractable Plantar Keratoses (Corns) of the Foot: A Scoping Review.

Background: Hyperkeratosis is a hypertrophic thickening of the skin. A callus (tyloma) is considered diffuse thickening, whereas a corn-also known as a clavus, heloma durum, or intractable plantar hyperkeratosis (IPK)-is a more focal, circumscribed hyperkeratotic lesion with a central conical core of keratin. Treatment (including surgical excision) of plantar keratoses is often sought because of pain and discomfort. The aim of this study was to collect and chart data regarding the surgical excision of plantar corns. The emerging themes were then mapped so that suggestions for areas of future research could be made.

Methods: A scoping review of the literature was performed using the six-stage methodologic framework (minus stage 6) proposed by Arksey and O'Malley incorporating the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews reporting guideline. A database search by means of the United Kingdom National Health Service Care Advanced Database Search yielded 1,056 articles, 12 of which appeared to be of potential relevance. After removing five duplicate articles, this total was reduced to seven, which were retrieved as full texts. Three were excluded. Thirteen further articles were found through Google Scholar and reference lists from the full texts retrieved to give 17 articles for review. One was discounted as not being in English/irrelevant; and one article did not relate to IPK excision, leaving 15 articles for data extraction.

Results: Iterative charting of the included articles yielded overlapping codes and two main themes. The first theme was closure: by primary intention (with or without a skin flap) or by secondary intention. The second theme was whether excision was performed in combination with IPK excision with other (bony) surgery.

Conclusions: There is modest evidence that excision of the lesion with either primary closure or healing by means of secondary intention can be useful for the management of IPKs. A further consideration is an emerging hypothesis that many of these IPKs are viral in origin, rather than mechanical, which implies that prospective studies are required with cross-reference to lesion excision by anatomical site and histopathologic confirmation of the diagnosis.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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