冷冻手术联合刮除术及电干燥法治疗角化棘皮瘤的疗效：90例回顾性分析
The Effectiveness of Cryosurgery Combined with Curettage and Electrodessication in the Treatment of Keratoacanthoma: A Retrospective Analysis of 90 Cases.
作者信息
Panagiotopoulos Antonios, Kyriazis Nikolaos, Polychronaki Eleni, Leotsakos George D, Vassis Polytimos, Rigopoulos Dimitrios
机构信息
National and Kapodistrian University of Athens, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Cryosurgery Unit, Athens, Greece.
出版信息
Indian J Dermatol. 2020 Sep-Oct;65(5):406-408. doi: 10.4103/ijd.IJD_202_18.
BACKGROUND
There are several treatment options for keratoacanthoma (KA). However, there are limited data available on the use of cryosurgery.
OBJECTIVE
To evaluate the effectiveness and safety of a combination treatment for KA and to evaluate the cosmetic outcome.
MATERIALS AND METHODS
The combination treatment incorporates the use of curettage, electrodessication, and cryotherapy. A retrospective study was conducted on 90 patients with KA who had been treated with this method between 2000 and 2014. The follow-up period lasted 2 years and photographs were available for every visit of the patients to the department.
RESULTS
The success rate was found to be 97.8%. No serious adverse events were observed. No infections were reported. The cosmetic outcome was evaluated as excellent for all patients.
DISCUSSION
The combination method appears to combine the advantages of both destructive treatment and surgical excision. It appears to be a safe and effective treatment method. However, there are certain limitations to this study.
CONCLUSIONS
More studies are needed to evaluate the effectiveness and safety of this method.
背景
对于角化棘皮瘤（KA）有多种治疗选择。然而，关于冷冻手术使用的数据有限。
目的
评估KA联合治疗的有效性和安全性，并评估美容效果。
材料与方法
联合治疗包括刮除术、电干燥法和冷冻疗法。对2000年至2014年间采用此方法治疗的90例KA患者进行了回顾性研究。随访期为2年，患者每次到科室就诊时均有照片留存。
结果
发现成功率为97.8%。未观察到严重不良事件。未报告感染情况。所有患者的美容效果评估为极佳。
讨论
联合方法似乎结合了破坏性治疗和手术切除的优点。它似乎是一种安全有效的治疗方法。然而，本研究存在一定局限性。
结论
需要更多研究来评估该方法的有效性和安全性。
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