Department of Dermatology, University Hospitals of Cleveland, Cleveland, Ohio, USA.
Dermatol Surg. 2010 Feb;36(2):208-13. doi: 10.1111/j.1524-4725.2009.01427.x. Epub 2009 Dec 21.
Hidradenitis suppurativa (HS) is a disease associated with significant patient morbidity and less-than-ideal therapies.
To determine the long- and short-term benefits of carbon dioxide (CO(2)) laser excision and marsupialization in the management of persisent lesions of HS.
Patients with long-standing lesions of HS were treated using a CO(2) laser to excise inflammatory and draining masses.
One hundred eighty-five areas were treated in 61 patients using the CO(2) laser excision and marsupialization technique in 154 sessions. Local anesthesia was used for all but three sessions. Healing occurred primarily through secondary intention. In follow-up from 1 to 19 years, acceptable to excellent qualities of healing occurred. Recurrence within the treated area occurred in two of 185 sites treated.
CO(2) laser excision and marsupialization appears to be an effective therapy for management of persisent or late-stage HS. There was good patient comfort during and after treatment, lower costs than with inpatient modalities, good healing, and minimal risk of recurrence within the treated areas.
化脓性汗腺炎（HS）是一种与患者发病率高和治疗效果不理想相关的疾病。
确定二氧化碳（CO2）激光切除和袋形缝合术在治疗持续性 HS 病变中的长期和短期益处。
对患有长期 HS 病变的患者使用 CO2 激光切除和袋形缝合术治疗炎症和引流肿块。
61 例患者的 185 个部位共进行了 154 次 CO2 激光切除和袋形缝合术。除了三次治疗外，所有治疗均使用局部麻醉。愈合主要通过二期愈合。在 1 至 19 年的随访中，治疗区域的愈合质量为可接受至优秀。在 185 个治疗部位中，有 2 个部位出现复发。
CO2 激光切除和袋形缝合术似乎是治疗持续性或晚期 HS 的有效方法。在治疗期间和治疗后，患者舒适度良好，与住院治疗方式相比，成本更低，愈合良好，治疗区域内复发的风险极小。
