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目的:观察CO_2激光与Ho:YAG激光联合应用治疗头面部角化棘皮瘤的疗效。方法:对2001年1月～2007年12月收治的7例头面部角化棘皮瘤患者采用CO_2激光和Ho:YAG激光联合治疗,观察其临床效果。结果:7例患者1次治愈6例,1次治愈率85.7%;2次治愈1例,2次冶愈率14.3%;总有效率100%。术后外形恢复满意。结论:对于直径小于1.5cm的早期的头面部角化棘皮瘤患者,Ho:YAG激光与CO_2激光联合治疗术中出血少,治疗效果好。由于角化棘皮瘤迅速增长的性质及与鳞癌的不确定关系,我们认为头面部角化棘皮瘤应尽早干预,以取得良好的结果。
Objective: To observe the curative effect of CO_2 laser and Ho: YAG laser in the treatment of keratoacanthoma of head and face. Methods: Seven patients with facial and facial keratoacanthoma admitted from January 2001 to December 2007 were treated with CO_2 laser and Ho: YAG laser. The clinical effects were observed. Results: Six cases were cured in one time, the cure rate was 85.7% in one time, two cases were cured in one case, and the second cure rate was 14.3%. The total effective rate was 100%. Postoperative shape recovery satisfaction. CONCLUSIONS: For patients with early head and face keratoacanthoma less than 1.5 cm in diameter, Ho: YAG laser combined with CO_2 laser has less bleeding and better therapeutic effect. Because of the rapidly growing nature of keratoacanthoma and the uncertain relationship with squamous cell carcinoma, we believe early head and face keratoacanthoma should be intervened as soon as possible to achieve good results.