微波能治疗疼痛难忍的足底角化病:九名患者的回顾性病历分析

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Ivan R Bristow, Raphael Lilker
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引用次数: 0

摘要

背景:足底角化瘤是一种常见的角化过度、深层病变,通常位于足部的负重部位。此类病变常常伴有疼痛和残疾。难治性足底角化瘤(IPK)极易复发,大多数患者需要定期接受姑息性治疗,这对患者的时间、费用和生活质量都有很大影响:我们对 9 名患者(共 21 个病灶)进行了回顾性病历审查,这些患者至少接受了两次 IPK 微波治疗。每次治疗时,我们都会使用 10 点量表对患者的疼痛程度进行评估,并邀请患者在次年进行复查。共有七名患者接受了四次治疗,并被纳入最终分析:结果:平均基线疼痛评分在随后的每次治疗中都显著下降,相当于在第一次和第四次就诊之间平均疼痛减轻了 90.4%,71.4% 的患者在最后一次治疗就诊时疼痛评分为零:结论:微波疗法的使用已被证明能有效地使一群患有疼痛性 IPK 的患者的疼痛得到明显而持久的缓解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Microwave Energy for the Treatment of Painful Intractable Plantar Keratosis: A Retrospective Medical Record Review of Nine Patients.

Background: Plantar keratoma are common hyperkeratinized, deep-seated lesions, often located on weightbearing areas of the foot. Such lesions are frequently associated with pain and disability. Intractable plantar keratomata (IPK) are highly recurrent and, in most patients, require regular, palliative treatment visits with a significant impact on patient time, cost, and quality of life.

Methods: We undertook a retrospective chart review of 9 patients (with a total of 21 lesions) who underwent a minimum of two treatments using microwave therapy to their IPK. Pain levels were assessed at each of their treatments using a 10-point scale and patients were invited for review for follow-up in the following year. A total of seven patients undertook four treatments and were included in the final analysis.

Results: Mean baseline pain scores significantly dropped with each subsequent treatment, equating to a 90.4% mean reduction in pain between the first and fourth visits, with 71.4% of patients reporting a zero-pain rating at their final treatment visit.

Conclusions: The use of microwave therapy has been shown to be effective in producing significant and prolonged pain reduction in a cohort of patients with painful IPK.

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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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