超脉冲CO 2 激光及多功能电离子治疗汗管瘤疗效比较.docVIP

超脉冲CO 2 激光及多功能电离子治疗汗管瘤疗效比较 　摘要:目的 比较超脉冲CO 2 激光与多功能电离子两种方法治疗汗管瘤的临床疗效。 方法 收集眼睑型汗管瘤73例，分别采用超脉冲CO 2 激光机与多功能电离子机治疗汗管瘤38例、35例（皮损病灶分别623、584个）;以每个病灶为单位，对照观察脉冲组和电灼组术后创面较原病灶扩大的比率、术后出现并发症的比率及一次清除率。 结果 脉冲组中病灶出现创面较原病灶扩大1mm、2mm的比率，明显低于电灼组，差异有显著性（P值均lt;0.01）;脉冲组中病灶出现局部凹陷、瘢痕增生、色素沉着、色素减退等各种并发症的比率，均明显低于电灼组，差异有显著性（P值均lt;0.01）;脉冲组的病灶一次清除率96.5%，低于电灼组（98.8%），差异有显著性（Plt;0.05）。 结论 超脉冲CO 2 激光治疗汗管瘤术后创面损伤小，并发症少，治愈率高，总体疗效优于多功能电离子。 　　关键词:汗管瘤;超脉冲CO 2 激光;多功能电离子 　　Comparison of therapeutic effect of ultrapulse CO 2 laser and multi-puirpose electricion on syringoma. 　 　　Abstract:Objective To compare the curative effects of syringoma with ultrapulse CO 2 laser and multi-purpose electric ion. Methods 73patients with syringoma were randomly divided into two groups treated respectively by ultrapulse CO 2 laser and multi-purpose electric ion.The occurrnce rates of enlagcment of lesions and effectiveness after operation，and the rates of one-elimination were compared in two groups. Results The occurrence rates of the area enlagcment above lmm and2mm competed withwound af-ter operation and original lesion in ultrapulse group were both lower than that in electric-ion group（Plt;0.01，Plt;0.01）.The four types of complications in ultrapulse group were all lower than those in electric-ion group（Plt;0.01，Plt;0.01，Plt;0.01，Plt;0.01）.The rates of one-off eimination in ultrapulse group was high upto96.5%，although it was lower than that of electric-ion group（Plt;0.05）. Conclusion The total curative effect of syringoma with ultrapulse CO 2 laser is better than multi-purpose electric ion because of less wound area and lower rate of complications and high cure rate ultrapulse. 　　Key words:Syringoma;Ultrapulse CO 2 laser;Multi-purpose electric ion 　　汗管瘤是一种好发于中青年女性面部的良性浅表性汗腺肿瘤 ［1］ 。我们于2001年5月～2004年3月应用国产XH-CO 2 -2000型高能超脉冲CO 2 激光机治疗眼睑型汗管瘤38例，并与传统的GX-III型多功能电离子机治疗35例眼睑型汗管瘤做了术后疗效的对照观察，现报告如下。 　　1 资料和方法 　　1.1 临床资料 眼睑型汗管瘤73例，均为门诊病人。皮损表现为肤色淡黄、褐黄色，呈半球形或扁平丘疹，大小1～3mm，孤立或群集分布于眼周。随机分为2组，分别采用超脉冲CO 2 激光机和多功能电离子机治疗。以每一丘疹为一病