划痕术治疗中重度鼻赘期酒渣鼻疗效观察
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摘要
目的观察划痕术治疗中重度鼻赘期酒渣鼻的疗效。方法纳入研究对象为30例中重度鼻赘期酒渣鼻患者,均为男性,年龄36～75岁,病程10～33年。操作步骤为:常规消毒,鼻部局部麻醉。用刀片修除部分肥大增生的鼻赘组织。五锋划痕刀行交叉网状的快速划痕切割,直至呈现正常鼻型及创面呈草莓状中止手术。充分止血后凡士林纱布覆盖创面。术后1年通过术前术后的鼻部照片对比,观察鼻赘增生去除程度及鼻形恢复程度,同时发放患者问卷调查共同评价疗效。结果术后27例患者恢复正常鼻型,比率高达90%,3例患者术后仍有轻度鼻赘增生或鼻部不对称,予以二氧化碳激光磨削后患者基本满意。1例患者术后鼻部可及小片散在瘢痕,予以二氧化碳点阵激光治疗4次后明显改善。术后未见色素减退。87%患者对自己鼻部外形的恢复完全满意,且1年后鼻部外形保持良好状态患者比例高达93%,自我感觉良好的患者比例高达97%。患者推荐度达100%。结论划痕术治疗中重度鼻赘期酒渣鼻临床疗效显著,患者满意度高,且操作简便易行,值得推广。
引文
[1]张学军.皮肤性病学[M].北京:人民卫生出版社,2008:178.
[2]Chow W,Jeremic G,Sowerby L.Use of the microdebrider in the surgical management of rhinophymav[J].Ear Nose Throat,2018,97:e42-45.
[3]Schweinzer K,Kofler L,Spott C,et al.Surgical treatment of rhinophyma:experience from a German cohort of 70 patients[J].Eur J Dermatol,2017,27:281-285.
[4]Hassanein AH,Caterson EJ,Erdmann-Sager J,et al.The subunit method:A novel excisional approach for rhinophyma[J].J Am Acad Dermatol,2016,74:1 276-1 278.
[5]Bassi A,Campolmi P,Dindelli M,et al.Laser surgery in rhinophyma[J].G Ital Dermatol Venereol,2016,151:9-16.
[6]Gupta-Elera G,Lam C,Chung C,et al.Violaceous plaque on the nose referred for rhinophyma surgery[J].Int J Dermatol,2015,54:1 011-1 013.
[7]Karacor-Altuntas Z,Dadaci M,Ince B,et al.A new surgical technique of rhinophyma(gull-wing technique)[J].J Craniofac Surg,2015,26:e28-30.
[8]朱学骏.现代皮肤病性病诊疗手册[M].北京:北京医科大学出版社,2001:239.
[9]赵辨.中国临床皮肤病学[M].南京:江苏科学技术出版社,2009:156.
[2]Chow W,Jeremic G,Sowerby L.Use of the microdebrider in the surgical management of rhinophymav[J].Ear Nose Throat,2018,97:e42-45.
[3]Schweinzer K,Kofler L,Spott C,et al.Surgical treatment of rhinophyma:experience from a German cohort of 70 patients[J].Eur J Dermatol,2017,27:281-285.
[4]Hassanein AH,Caterson EJ,Erdmann-Sager J,et al.The subunit method:A novel excisional approach for rhinophyma[J].J Am Acad Dermatol,2016,74:1 276-1 278.
[5]Bassi A,Campolmi P,Dindelli M,et al.Laser surgery in rhinophyma[J].G Ital Dermatol Venereol,2016,151:9-16.
[6]Gupta-Elera G,Lam C,Chung C,et al.Violaceous plaque on the nose referred for rhinophyma surgery[J].Int J Dermatol,2015,54:1 011-1 013.
[7]Karacor-Altuntas Z,Dadaci M,Ince B,et al.A new surgical technique of rhinophyma(gull-wing technique)[J].J Craniofac Surg,2015,26:e28-30.
[8]朱学骏.现代皮肤病性病诊疗手册[M].北京:北京医科大学出版社,2001:239.
[9]赵辨.中国临床皮肤病学[M].南京:江苏科学技术出版社,2009:156.