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脉冲式与连续式CO2激光治疗汗管瘤疗效观察 |
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王月华 朱一平
［摘 要］ 目的：寻找治疗汗管瘤的有效方法，减少或避免治疗反应及并发症。 方法：以CO2激光脉冲式与连续式两种方法治疗汗管瘤患者66人，皮损730灶，对照研究其治疗反应、疗效、并发症及发生的原因，并作统计学处理。 结果：治疗反应为创面较原皮损扩大，脉冲组发生率16.21％，连续组发生率79.94％，具非常显著的差异。一次治愈率均为97％以上。并发症的发生率脉冲组也低于连续组，具显著差异。 结论：脉冲式CO2激光治疗汗管瘤对周围正常组织的热损伤、创面扩大的治疗反应和并发症少于连续式。
［关键词］ 汗管瘤 脉冲激光 治疗反应
［中图分类号］R454.2 ［文献标识码］A
［文章编号］1008-6455（2000）05-0344-02
CLINICAL STUDY ON COMPARATIVE TREATMENT OF SYRINGOMA WITH PULSED AND CONTINUOUS CO2 LASER
WANG Yue-hua ZHU Yi-ping
(Department of Dermatology，Hua shan Hospital，Shanghai Medical University Shanghai 200040)
［Abstract］ Objective：To find an effective therapy to treat for syringoma with less or no therapeutic reaction and no complications. Methods：66 patients with syringoma，about 730 focuses，underwent treatment with pulsed and continuons CO2 laser.The therapeutic reaction，effectiveness and complication were compared and analyzed statistically. Results：The therapeutic reaction defined as that the lesion area enlarged after treatment.The occurrence rate in pulsed CO2 laser group was 16.21％，while in continuous CO2 laser group was 79.94％.The difference was significant.The cure rate was 97％ in both groups.The occurrence rate of complication was lower in pulsed group than that in continuous group.The difference was significant. Conclusion：The pulsed CO2 laser had a good cosmetic effect in the treatment of syringoma since it did less heat injury to surrounding area，and the occurrence rate of therapeutic reaction and complication was lower.
［Key words］ Syringoma Pulsed laser Therapeutic reaction
汗管瘤是一种好发于女性面部的良性浅表性汗腺肿瘤，寻找本病合适有效的疗法已为临床皮肤科医生及有关人士所关注。
现将我们在1996年～1998年期间以脉冲式与连续式CO2激光对照治疗汗管瘤的临床研究结果报告如下。
1 临床资料
1.1 对象与病情 汗管瘤患者66人，均来自本科门诊，女63人，男3人。年龄18～52岁，平均35.3岁，30～40岁者占56.1％。皮损表现为1～3mm肤色或浅棕色扁平或半球形丘疹，孤立或群集分布于眼周、口周及颈、胸部。皮损典型者29人，非典型者37人，均经环钻术获得组织病理证实。以一个丘疹为一病灶，随机用脉冲或连续式CO2激光进行治疗。
1.2 激光技术参数 治疗用波长10600nm的CO2激光，同路指示光为波长632.8nm的He－Ne[1] [2] 下一页
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