电火针洞式引流联合局部封闭治疗头部脓肿性穿掘性毛囊周围炎疗效观察

Analysis of the efficacy of annular drainage with electric pyropuncture needle therapy combined with blocking therapy in treatment of patients with perifolliculitis capitis abscedens et suffodiends

关键词:  电火针  洞式引流  局部封闭  头部脓肿性穿掘性毛囊周围炎

Key words:  electric pyropuncture needle  annular drainage  blocking therapy  perifolliculitis capitis abscedens et suffodiends

摘要:

[目的] 探讨电火针洞式引流联合局部封闭治疗头部脓肿性穿掘性毛囊周围炎临床疗效。[方法] 选取64例头部脓肿性穿掘性毛囊周围炎男性患者，简单随机分为治疗组及对照组，治疗组采用电火针洞式引流联合局部封闭（复方倍他米松与2%利多卡因混合液）进行治疗，对照组采用传统手术切开引流、常规换药治疗，治疗结束后跟踪随访半年，对患者的临床效果、伤口愈合时间长短、愈合后瘢痕的大小及秃发面积4方面进行观察比较。[结果] 2组患者全部有效，疗效相当（P>0.05）；治疗组在伤口的愈合时间、愈合后瘢痕的大小及秃发面积改善方面优于对照组（P<0.05）。[结论] 局部电火针洞式引流联合局部封闭治疗头部脓肿性穿掘性毛囊周围炎具有安全有效、创面愈合快、瘢痕小、秃发面积少的良好临床效果。

Abstract:

[Objective] To evaluate the effect of annular drainage with electric pyropuncture needle therapy combined with blocking therapy in treatment of patients with perifoll iculitis capitis abscedens et suffodiends. [Methods] A total of 64 out-patients were selected and divided randomly into 2 groups(32 cases in each):treatment group and control group. Treatment group were treated by drainage with electric cauterization firstly, then by blocking therapy; control group were treated by drainage with incision． Follow up to 6 months in both group, the clinical therapeutic effect,the healing time and the scar and alopecia area of the wound were compared between 2 groups. [Results] All of the patients in the 2 groups were effective with a similar therapeutic effect(P>0.05); the treatment group in the healing time and the scar and alopecia area of the wound was superior to the control group(P<0.05). [Conclusion] Annular drainage with electric pyropuncture needle therapy combined with blocking therapy is of high cure rate in the treatment of patients with perifolliculitis capitis abscedens et suffodiends. [Conclustion] Therapy has advantages in rapid healing, less scar and alopecia area of wound．