自制环钻切取法治疗面部皮脂腺囊肿的疗效观察.docVIP

精品论文 参考文献 自制环钻切取法治疗面部皮脂腺囊肿的疗效观察 李慧 (吉林省吉林中西医结合医院口腔科吉林132012) 基金项目：吉林市科技发展计划项目（编号201032280）。 作者简介：李慧（1971.4-），女,副主任医师，本科，研究方向：口腔疾病诊断与治疗。 【摘要】目的:通过应用自制的碳18合金3.5mm环钻治疗面部皮脂腺囊肿，探索一种治疗面部脂腺囊肿的简单、安全、有效的新方法。方法:选取无感染的面部皮脂腺囊肿患者158例，随机分为两组，治疗组88例采用自制环钻切取法，对照组70例采用常规手术切除法，分别记录术后感染、术后愈合及术后复发情况。结果:环钻切取法为痊愈84例（95.5%），常规手术切除痊愈48例（68.6%）经卡方检验（chi;2=20.50，plt;0.01），两者有显著性差异，使用环钻切取法对面部皮脂腺囊肿治愈率较高。结论:环钻切取法治疗面部皮脂腺囊肿，切口小、出血少，可控制深度，使用简单、安全，患者痛苦小，治愈率高，愈后效果好，易于推广。 【关键词】环钻；切取法；面部皮脂腺囊肿 【中图分类号】R622【文献标识码】A【文章编号】1008-6455（2010）08-0061-01Self-made thephine cutting device originates the treatment efficacy off facial sebaceous cyst Li Hui 【Abstract】Objective:Through the application of carbon-18 alloy 3.5mm self-made trephine treatment of facial sebaceous cyst, and explore a treatment for facial fat cyst simple, safe and effective new methods. Methods:Select the non-infected patients with facial sebaceous cyst 158 cases were randomly divided into two groups,treatment group,88 cases with self-made trephine cutting device originates in the control group of 70 patients with conventional surgical excision were recorded postoperative infection,postoperative healing and post operative recurrence.Results:Trephine cutting device originates as a recovery of 84 cases(95.5%),If elective surgery then resection would have 48 cases(68.6%),through the chi-square test（chi;2=20.50 ，plt;0.01）,a significant different between the use of trephine cutting device originates on the sebaceous cyst face a higher cure rate.Conclusion:Trephine cutting device originates the treatment of facial sebaceous cyst,a small incision,less bleeding,can control the sebaceous cyst, a small incision, less bleeding,can control the depth, using a simple,safe and pain in patients with small,high cure rate,the prognosis for effective,easy to spread. 【Key words】trephine; cut emulated; facial sebaceous cyst 皮脂腺囊肿中医称“粉瘤”，主要为由皮脂腺排泄管阻塞，皮脂腺囊肿状上皮被逐渐增多的内容物膨胀而形成的潴留状囊肿，囊内为白色凝乳状皮脂腺分泌物［1］。常见于面部，随着人们生活水平的日益提高，对面部美观更加注重，以往的颌面部皮脂腺囊肿手术方法易遗留永久性疤痕。针对