整形美容
作者：謝立雲
【摘要】目的：為了探索顏麵部皮脂腺囊腫理想的治療方案，減少瘢痕的大小，作者對458例顏麵部皮脂腺囊腫患者依據囊腫的大小分組，采取不同的治療方案。方法：將皮脂腺囊腫直徑小於1.5cm的采用多功能電離子治療，而囊腫直徑大於1.5cm的則采用小切口微創摘除術。結果：所有患者均Ⅰ期愈合。隨訪3月～1年， 2例患者複發，均為應用電離子治療的患者，且有既往紅腫或破潰史，複發的患者采用小切口微創摘除術治愈。所有患者瘢痕均不明顯，治療效果滿意。結論：通過依據囊腫的大小，分別采用電離子治療或小切口微創摘除術治療顏麵部皮脂腺囊腫，患者創傷小，愈合後瘢痕不明顯，滿意度高，值得推廣。
【關鍵詞】皮脂腺囊腫；麵部；電離子治療；小切口
【中圖分類號】R622 【文獻標識碼】A 【文章編號】1008-6455（2012）03-0367-02
The application of the multifunction of electric ion treatment instrument and a small incision surgical excision to 458 cases with facial sebaseous cyst
XIE Li-yun
（Department of Burn and Plastic Surgery of Harrison International Peace hospital，Hengshui 053000，Hebei，China）
Abstract: Objective In order to explore an ideal treatment methods for facial sebaseous cyst，it could reduce scar formation，and obtain a satisfactory therapeutic effect. Methods Through the application of the multifunction of electric ion treatment instrument and a small incision surgical excision to facial sebaseous cyst，458 cases were divided into two groups according to the diameter of the cyst.With the group with the diameter more than 1.5cm，the multifunction of electric ion treatment instrument was used，and with the group with the diameter less than 1.5 cm，a small incision surgical excision was selected. Results All the patients were cured with PhaseⅠand all the patients were followed up 3 months to 1 year.Postoperative scar，postoperative recurrence and patients'satisfaction were recorded.It was showed only two cases had postoperative recurrence，all the postoperative scars were not apparent，and all the patients were satisfied. Conclusion According to the diameter of the cyst，the application of the multifunction of electric ion treatment instrument and a small incision surgical excision was selected separately. less trauma， less postoperative scar，less postoperative recurrence and all the patients were satisfied，it was worth promoting.