微切口手术治疗感染期皮脂腺囊肿临床疗效观察
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摘要
目的:探讨微切口皮脂腺囊肿囊腔摘除术治疗感染期皮脂腺囊肿的临床疗效。方法:选取该院2015年2月—2017年2月收治的127例皮脂腺囊肿感染患者。术前予抗炎治疗,采用微切口皮脂腺囊肿囊腔摘除术,术后视切口愈合情况对症治疗。结果:本组127例皮脂腺囊肿感染患者中,治愈120例(94.49%),显效6例(4.72%),无效1例(0.79%),有效率为99.21%。随访3个月后复发1例(0.79%)。结论:微切口皮脂腺囊肿囊腔摘除术治疗感染期皮脂腺囊肿疗效显著,术后愈合良好,切口小,复发率低。
Objective: To investigate the efficacy of micro-cystectomy for sebaceous cysts with infections. Methods: From February 2015 to February 2017, 127 patients with infected sebaceous cysts in their hospital were treated with micro-cystectomy, in addition to routine anti-inflammatory and symptomatic treatments. Results: Out of 127 patients, 120 cases were cured, 6 patients were markedly improved and 1 case was no improvement. The total effective rates were 99.21%. One patient(0.79%)reoccurred 3 months after the treatment. Conclusion: Micro-cystectomy is effective for sebaceous cysts with infection, with advantages of good postoperative wound healing, smaller incision and lower reoccurrence.
Objective: To investigate the efficacy of micro-cystectomy for sebaceous cysts with infections. Methods: From February 2015 to February 2017, 127 patients with infected sebaceous cysts in their hospital were treated with micro-cystectomy, in addition to routine anti-inflammatory and symptomatic treatments. Results: Out of 127 patients, 120 cases were cured, 6 patients were markedly improved and 1 case was no improvement. The total effective rates were 99.21%. One patient(0.79%)reoccurred 3 months after the treatment. Conclusion: Micro-cystectomy is effective for sebaceous cysts with infection, with advantages of good postoperative wound healing, smaller incision and lower reoccurrence.
引文
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[15]张培超,张娇娇. MEBO治疗感染性皮脂腺囊肿临床疗效分析[J].中国烧伤创疡杂志,2016,28(5):376-378.
[16]李叶,李浩杰,胡满香,等.化腐清创术治疗皮脂腺囊肿伴感染临床观察[J].山西中医,2015,31(3):42-43.
[17]王向阳,石丽亚,莫志峰.Ⅰ期手术切除治疗感染期耳周皮脂腺囊肿的临床体会[J].实用医技杂志,2008,15(14):1878-1879.
[18]李睿.社区门诊皮脂腺囊肿的手术治疗[J].中国现代药物应用,2015,4(1):51-52.
[19]于树森,陈青松.皮脂腺囊肿感染一期切除68例体会[J].中国疗养医学,2010,19(8):737-737.
[2]王宜兵,胡小飞.社区门诊手术治疗皮脂腺囊肿的方法研究[J].医药前沿,2015,13(30):194-195.
[3] Rood LK. Superficial temporal artery pseudoaneurysm presenting as a suspected sebaceous cyst[J]. J Emerg Med, 2016, 51(6):149-150.
[4] Lao LF, Zhong GB, Liu ZD. Surgical treatment of a sebaceous cyst in the spine region[J]. Spine J, 2014, 14(9):2266-2268.
[5]张泰娟.皮脂腺囊肿感染切开引流的护理[J].天津护理,2013,21(3):221-221.
[6] Hogan K, Herman A, Nicholson S, et al. Late extrusion of a temporomandibular joint prosthesis masquerading as a sebaceous cyst[J]. J Plast Reconstr Aesthet Surg, 2013, 66(11):313-314.
[7] Holmes EJ. Tumors of lower hair sheath. Common histogenesis of certain so-called“sebaceous cysts,”acanthomas and“sebaceous carcinomas”[J]. Cancer, 1968, 21(2):234-248.
[8]宋全荣,刘美,张同明.藻酸盐银离子治疗皮脂腺囊肿感染的研究[J].中医临床研究,2015,7(12):113-114.
[9]葛爱卡,刘安民.中西医结合治疗背部皮脂腺囊肿感染64例[J].世界最新医学信息文摘,2018,18(86):235,237.
[10]王美蓉,李玲杰,朱丽婷,等.皮损清理术结合光动力疗法治疗囊肿性痤疮60例疗效观察[J].临床皮肤科杂志,2017,46(5):365-366.
[11] Uhurebor D. Methicillin resistant staphylococcus aureus(MRSA)in the correctional facilities:the need for infection prevention education[J]. Eur J Oper Res, 2015, 232(1):117-124.
[12]陆叶倩,王慧萍,陈卫黎.呋喃西林联合贝复济在皮脂腺囊肿感染化脓换药中的疗效观察[J].现代医药卫生,2016,32(21):3327-3328.
[13]刘安民,徐杰男,阙华发.中医外治为主治疗皮脂腺囊肿感染159例[J].中医外治杂志,2012,21(1):30-30.
[14]戴新英.皮脂腺囊肿感染Ⅰ期手术切除的临床疗效观察[J].中国医学创新,2010,7(32):87-88.
[15]张培超,张娇娇. MEBO治疗感染性皮脂腺囊肿临床疗效分析[J].中国烧伤创疡杂志,2016,28(5):376-378.
[16]李叶,李浩杰,胡满香,等.化腐清创术治疗皮脂腺囊肿伴感染临床观察[J].山西中医,2015,31(3):42-43.
[17]王向阳,石丽亚,莫志峰.Ⅰ期手术切除治疗感染期耳周皮脂腺囊肿的临床体会[J].实用医技杂志,2008,15(14):1878-1879.
[18]李睿.社区门诊皮脂腺囊肿的手术治疗[J].中国现代药物应用,2015,4(1):51-52.
[19]于树森,陈青松.皮脂腺囊肿感染一期切除68例体会[J].中国疗养医学,2010,19(8):737-737.