CAJ | 학술논문

目的：探讨小汗腺汗孔瘤切除术的护理配合方法。方法对中山大学附属第三医院2007年1月~2013年12月收治的16例行小汗腺汗孔瘤切除术患者的手术护理资料进行回顾性分析。结果16例患者临床分别拟诊为脂溢性角化病、化脓性肉芽肿、皮肤纤维瘤、寻常疣等。其中13例直接行手术切除术后未复发；3例之前在外院行激光术治疗后复发，再次行扩大手术切除后未复发。结论小汗腺汗孔瘤临床容易误诊，加强患者的手术护理，宣教术后定期随访，是患者手术顺利进行、避免术后复发及恶性变的关键。
목적：탐토소한선한공류절제술적호리배합방법。방법대중산대학부속제삼의원2007년1월~2013년12월수치적16례행소한선한공류절제술환자적수술호리자료진행회고성분석。결과16례환자림상분별의진위지일성각화병、화농성육아종、피부섬유류、심상우등。기중13례직접행수술절제술후미복발；3례지전재외원행격광술치료후복발，재차행확대수술절제후미복발。결론소한선한공류림상용역오진，가강환자적수술호리，선교술후정기수방，시환자수술순리진행、피면술후복발급악성변적관건。
Objective To explore nursing strategies for patients with eccrine poroma who receive surgery.Methods A retrospective analysis of the nursing data from16 patients with this disorder in our hospital from January 2007 to December 2013.Results The initial clinical diagnosis of al the cases were sebor heic keratosis,granuloma pyogenicum,dermatofibroma and ver uca vulgaris,et al.Out of 16 patients,13 cases directly underwent local excision with no relapse and 3 cases which first received the laser resection in other hospitals remerged and underwent wide excision final y.Conclusion Eccrine poroma is easily to be misdiagnosed.Surgical operation is the optimal treatment.It is the key to assure the surgical process successful y and avoid recur ence and malignant transformation that nursing in the course of surgery and education after the regular fol ow-up.