Levoska Melissa A, Nicholson Cynthia L, Hamzavi Iltefat H
Wayne State University School of Medicine, Detroit, Michigan, USA.
Department of Dermatology, Henry Ford Hospital, Detroit, Michigan, USA.
Semin Cutan Med Surg. 2017 Jun;36(2):67-74. doi: 10.12788/j.sder.2017.023.
Hidradenitis suppurativa (HS) is a chronic skin disease that is difficult to manage and often refractory to medical management. Light and laser therapies have been utilized in the field of dermatology to treat a variety of skin conditions, but more recently were studied in the management of HS. Usually performed as outpatient procedures with a low risk of complications, they offer several advantages to traditional cold knife surgical procedures. We reviewed the various light- and laser-based treatments studied in HS and compared their efficacy. Outcome measures were not standardized, which made comparison difficult. Studies performed were few in number and often limited by small patient samples. Larger, randomized controlled trials that compare these treatment modalities to medical and surgical management are needed. Despite their limitations, light- and laser-based therapies are promising treatment options for patients with refractory HS.
化脓性汗腺炎（HS）是一种难以管理且药物治疗常难起效的慢性皮肤病。光疗和激光疗法已在皮肤科领域用于治疗多种皮肤疾病，最近也被用于HS的治疗。这些疗法通常作为门诊手术进行，并发症风险低，与传统的冷刀手术相比具有多个优势。我们回顾了在HS中研究的各种光疗和激光治疗方法，并比较了它们的疗效。疗效衡量标准不统一，这使得比较变得困难。所进行的研究数量较少，且常受患者样本量小的限制。需要开展更大规模的随机对照试验，将这些治疗方式与药物和手术治疗进行比较。尽管存在局限性，但光疗和激光疗法对于难治性HS患者而言是有前景的治疗选择。
