应用射频技术治疗皮脂腺囊肿的疗效分析

Clinical effects of radiofrequency ablation in treatment of sebaceous cyst

  • 摘要: 目的 观察XL-射频皮肤治疗仪(解放军总医院第一医学中心康复医学中心研制)放大镜下消融治疗皮脂腺囊肿的临床疗效。方法 在头戴式放大镜下,使用XL-射频皮肤治疗仪消融微切64例皮脂腺囊肿,其中面部42例(鼻唇部4例,前额部4例,颞区5例,两颊14例,下颌及颏部2例,眼周13例),头部2例,躯干12例(颈部6例,胸前区5例,背部1例),四肢8例(上肢5例,下肢3例)。囊肿长径0.2~2.9 cm。手术切口1.5~3 mm,不缝合。随访观察6~60个月。结果 64例治愈,其中59例(92.2%)1次治疗治愈,5例(7.8%)术后部分残留,第2次治疗治愈。随访期内,有效率98.4%,复发率1.6%。60例无肉眼可见的手术瘢痕,4例肉眼可见微小瘢痕。所有切口均达到甲级愈合。结论 XL-射频皮肤治疗仪治疗皮脂腺囊肿是一项安全、精准、有效的治疗技术,特别是对于头面部、睑缘及关节等部位的皮脂腺囊肿。

     

    Abstract: Objective To observe the clinical effects of radiofrequency ablation in treatment of sebaceous cyst under a medical magnifier. Methods A total of 64 cases suffering from sebaceous cyst were treated in the first medical center of Chinese PLA General Hospital.For the location of sebaceous cyst,42 cases were on the face (4 on the nasal and labial region,4 on the forehead,5 on the temporal region,14 on the cheek,2 on the jaw or chin and 13 on the periocular region),2 cases were on the head,12 cases were on the torso (6 on the neck,5 on the chest and 1 case on the back),and 8 cases were on the limbs (5 on the upper limbs and 3 on the lower limbs).The diameter of cyst ranged from 0.2 to 2.9cm,while the incision length was 0.5-3mm without suture.These cases were followed up for 6-60 months. Results Of the 64 cases,59 (92.2%) cases were completely cured by single visit treatment,while 5 (7.8%) cases were treated twice.Based on the follow-up data,the cure rate was 98.4%.Sixty cases were cured without visible scar,and 4 cases had tiny scar. Conclusion Treating sebaceous cyst with the radiofrequency ablation is effective,precise and safe.It is a good option for sebaceous cysts on the face,head,palpebrae or arthrosis.

     

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