摘要
目的 探讨面部皮脂腺囊肿感染期的治疗方法.方法 根据感染程度、囊肿大小、患者性别及年龄等差异设计抗生素治疗延期手术法、直接手术切除法、切开引流刮治法以及切开引流刮治后缝合法等.自2006年9月至2011年9月,应用以上方法对治疗的85例感染期颌面部皮脂腺囊肿病例进行了临床总结并评价其临床治疗效果.结果 患者均接受相应治疗方法对治疗效果满意.临床随访1-6年,仅有2例复发.抗生素治疗延期手术法临床治疗时间为30-90d,Ⅱ期手术采用微创小切口法, 瘢痕长度3-5mm;直接手术切除法均Ⅰ期愈合,治疗时间为7d,瘢痕长度10～20mm;切开引流刮治法以及切开引流刮治后缝合法治疗时间8-14d, 瘢痕长度3～5mm.结论 抗生素治疗延期手术法、直接手术切除法、切开引流刮治法以及切开引流刮治后缝合法,均是治疗颌面部感染期皮脂腺囊肿的可选择方法.根据面部感染期皮脂腺囊肿的感染程度、囊肿大小、患者年龄及性别等个体差异设计个体化治疗是治疗感染期皮脂腺囊肿的关键.
Objective To evaluate the method of treatment of sebaceous cyst at infective stage. Methods According to infective conditions, size of the cyst, patient gender and age differences, the methods of anti-inflammatory treatment and delayed operation, direct surgical excision and scaling with incision drainage were used to treat inflammation session of sebaceous cyst at infective stage. Some cases were sutured after scaling treatment. About 35 cases of infective sebaceous cyst were treated and evaluated with these methods from September 2006 to September 2011. Results All cases received appropriate treatment with these methods. Only 2 cases were recurred after 1 to 6 years follow-up. Overall treatment time with anti-inflammatory treatment and delayed operation was 30 to 90 days and the length of scar was 3 to 5 mm. Overall treatment time with direct surgical excision was 7 days and length of scar was 10 to 20 mm. Scaling and suture treatment needed 8 to 14 days and length of scar was 3 to 5 mm. Conclusion Anti-inflammat0ry treatment and delayed operation, direct surgical excision, scaling with incision drainage and suture after scaling were appropriate. Individual treatment on sebaceous cyst at infective stage was the key according to differences of infection conditions, size of the cyst, patient gender and age.
出处
《中国美容整形外科杂志》
CAS
2012年第12期729-731,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
感染
皮脂腺囊肿
个体化治疗
Inflammation
Sebaceous cyst
Individualized treatment
