四川医学
四川醫學
사천의학
SICHUAN MEDICAL JOURNAL
2014年
7期
837-838
,共2页
周开华%康道现%邹晴%王璐
週開華%康道現%鄒晴%王璐
주개화%강도현%추청%왕로
皮脂腺囊肿%剥离术%瘢痕%咪喹莫特
皮脂腺囊腫%剝離術%瘢痕%咪喹莫特
피지선낭종%박리술%반흔%미규막특
sebaceous glands cyst%cyst decollement%scarring%imiquimod
目的:评价囊肿剥离精细缝合术治疗面部皮脂腺囊肿及术后外用咪喹莫特乳膏预防瘢痕形成的疗效,为临床治疗皮脂腺囊肿及预防瘢痕形成提供安全可靠的方法。方法根据囊肿的大小和累及部位,以两端深中间浅的方式梭形切开皮肤,完整剥离囊肿。游离切缘皮瓣,0-丝线皮下间断缝合封闭空腔。以5/0尼龙线无张力间断缝合切缘。拆线后外用5%咪喹莫特乳膏防止瘢痕形成。结果27例手术患者剥离囊肿后均精细缝合,术后愈合良好,无明显瘢痕形成。结论囊肿剥离精细缝合术联合咪喹莫特乳膏是治疗面部皮脂腺囊肿并预防瘢痕形成较为理想的手术方法。
目的:評價囊腫剝離精細縫閤術治療麵部皮脂腺囊腫及術後外用咪喹莫特乳膏預防瘢痕形成的療效,為臨床治療皮脂腺囊腫及預防瘢痕形成提供安全可靠的方法。方法根據囊腫的大小和纍及部位,以兩耑深中間淺的方式梭形切開皮膚,完整剝離囊腫。遊離切緣皮瓣,0-絲線皮下間斷縫閤封閉空腔。以5/0尼龍線無張力間斷縫閤切緣。拆線後外用5%咪喹莫特乳膏防止瘢痕形成。結果27例手術患者剝離囊腫後均精細縫閤,術後愈閤良好,無明顯瘢痕形成。結論囊腫剝離精細縫閤術聯閤咪喹莫特乳膏是治療麵部皮脂腺囊腫併預防瘢痕形成較為理想的手術方法。
목적:평개낭종박리정세봉합술치료면부피지선낭종급술후외용미규막특유고예방반흔형성적료효,위림상치료피지선낭종급예방반흔형성제공안전가고적방법。방법근거낭종적대소화루급부위,이량단심중간천적방식사형절개피부,완정박리낭종。유리절연피판,0-사선피하간단봉합봉폐공강。이5/0니룡선무장력간단봉합절연。탁선후외용5%미규막특유고방지반흔형성。결과27례수술환자박리낭종후균정세봉합,술후유합량호,무명현반흔형성。결론낭종박리정세봉합술연합미규막특유고시치료면부피지선낭종병예방반흔형성교위이상적수술방법。
Objective Evaluate the curative effect of subtle stitchin combining of imiquimod cream in facial sebaceous glands cyst. Provide safe and reliable treatment for sebaceous glands cyst and prevention scarring. Methods According to the size of the cyst and involvement, fusiform incision was cut in the form of deeply in both ends and shallowly in the middle. Then the cyst was completely stripped. After freeing the flap, subcutaneous interrupted suture was done with 0-slik to close the cavity. The incisal edge was interrupted sutured with 5 / 0 nylon thread without tension. Imiquimod cream was topical used after removing the suture to prevent scarring. Results 27 cases of sebaceous glands cyst were treated with cyst decollement and subtle stitching. No recurrence and no obvious scar formation. Conclusion Subtle stitching combining of imiquimod cream is a safe and reliable treat-ment for facial sebaceous glands cyst and prevention scarring.