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目的观察多功能电离子烧灼及冷冻治疗睑黄瘤的疗效及安全性。方法入选90例患者,随机分为2组,A组采用多功能电离子烧灼治疗,B组采用液氮冷冻治疗。治疗结束后4周内嘱患者每日观察创面,并每2周复诊1次,连续2次,1个月后每月复诊1次,连续半年。结果完成治疗和随访的A组患者41例、B组30例。1个月后A组痊愈100%,B组治疗3次后痊愈率为83.33%,有效率为100%。半年后复发率:A组4.88%,B组33.33%,差异有显著统计学意义(P<0.01)。A、B两组患者术后均无明显不良反应。结论多功能电离子烧灼治疗睑黄瘤安全有效,值得推荐。
Objective To observe the efficacy and safety of multifunctional ion-cauterization and cryotherapy in the treatment of eyelid xanthomas. Methods 90 patients were enrolled and randomly divided into two groups. Group A was treated with multifunctional iontophoresis and group B was treated with liquid nitrogen freezing. Patients were inspected daily for 4 weeks after the treatment, and the patients were referred to the clinic once every two weeks for 2 consecutive months. The patients were referred to the hospital once a month for 1 month for six months. Results A group of 41 patients completed treatment and follow-up, B group 30 cases. After 1 month, the patients in group A recovered 100% and the patients in group B recovered 83.33% after 3 times of treatment. The effective rate was 100%. Six months after the recurrence rate: 4.88% in group A, 33.33% in group B, the difference was statistically significant (P <0.01). Patients A and B had no obvious adverse reactions after operation. Conclusion Multifunctional iontophoresis cautery for the treatment of eysetoma is safe and effective, which is recommended.