王月华 朱一平

(1.上海医科大学华山医院皮肤科上海2000402.上海市南市区肿瘤防治院)

王月华女,上海第一医学院医疗系毕业,上海市华山医院皮肤科副主任医师、副教授,中华医学会美学美容学上海市分会委员。发表论文20余篇,获"上海市科技进步三等奖"等奖项三项。[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:〖HT5"K〗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 CO²LASER

WANG Yue-huaZHU Yi-ping

Department of Dermatology,Hua shan Hospital,Shanghai Medical

University(Shanghai200040)

[Abstract]Objective:To find an effective therapy to treat for syringoma with less or no therapeutic reaction and no complications.Methods:〖WT5"BZ〗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]SyringomaPulsed laserTherapeutic 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。ハ纸我们在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。……