Witthaut J, Steffens K, Koob E
Department of Hand and Plastic Surgery, St Josef Hospitals, Essen-Kupferdreh, Germany.
J Hand Surg Br. 1994 Dec;19(6):791-3. doi: 10.1016/0266-7681(94)90260-7.
Pyogenic granuloma (PG) is a common skin tumour whose aetiology is unknown. There is a significant recurrence rate whatever method of treatment is used, and there are many studies in the literature on the treatment of recurrence. In our experience, the most effective way of preventing recurrence is the complete removal of the tumour using the microscope, operating in a bloodless field. Only then can the whole tumour with its supply vessels be reliably removed. 20 cases of PG on the hand, three cases in the shoulder-neck area and one case on the foot have been treated in our department over a period of 4 years. Five of these were recurrences and all involved the hand. Three of these were infected. 17 patients were followed for 3 months to 3.5 years. There were no recurrences in these patients, all of whom were operated on using the method described above.
化脓性肉芽肿（PG）是一种常见的皮肤肿瘤，其病因尚不清楚。无论采用何种治疗方法，复发率都很高，并且文献中有许多关于复发治疗的研究。根据我们的经验，预防复发的最有效方法是在无血视野下使用显微镜完整切除肿瘤。只有这样，才能可靠地切除整个肿瘤及其供血血管。在4年的时间里，我们科室共治疗了20例手部化脓性肉芽肿，3例肩颈部化脓性肉芽肿和1例足部化脓性肉芽肿。其中5例为复发病例，均累及手部。其中3例发生感染。17例患者接受了3个月至3.5年的随访。这些患者均采用上述方法进行手术，无复发情况。
