Abstract：
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.
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.
摘要：
背景：足底角化瘤是常见的过度角化，深层病变，通常位于脚的负重区域。这种病变通常与疼痛和残疾有关。顽固性足底角膜磨（IPK）是高度复发性的，在大多数患者中，需要定期，姑息治疗就诊对患者时间有重大影响，成本,和生活质量。
方法：我们对9例患者（共21个病灶）进行了回顾性分析，这些患者接受了至少两种使用微波治疗IPK的治疗。使用10分量表评估每种治疗方法的疼痛水平，并邀请患者在第二年进行随访。共有7名患者接受了4次治疗，并纳入了最终分析。
结果：每次后续治疗后，平均基线疼痛评分均显著下降，相当于第一次和第四次就诊之间疼痛平均减少90.4%，71.4%的患者在最后一次就诊时报告疼痛评分为零.
结论：在一组患有疼痛性IPK的患者中，使用微波治疗已被证明能有效地产生显著和延长的疼痛减轻。
方法：我们对9例患者（共21个病灶）进行了回顾性分析，这些患者接受了至少两种使用微波治疗IPK的治疗。使用10分量表评估每种治疗方法的疼痛水平，并邀请患者在第二年进行随访。共有7名患者接受了4次治疗，并纳入了最终分析。
结果：每次后续治疗后，平均基线疼痛评分均显著下降，相当于第一次和第四次就诊之间疼痛平均减少90.4%，71.4%的患者在最后一次就诊时报告疼痛评分为零.
结论：在一组患有疼痛性IPK的患者中，使用微波治疗已被证明能有效地产生显著和延长的疼痛减轻。
