化脓性肉芽肿的治疗进展  

Advances in the Treatment of Suppurative Granuloma

作　　者：徐教生[1] 马琳[1] XU Jiaosheng , MA Lin(Department of Dermatology, Belting Children＇s Hospital, Capital Medical University, Beijing 100045, China)

机构地区：[1]首都医科大学附属北京儿童医院皮肤科,北京100045

出　　处：《皮肤科学通报》2018年第5期534-540,共7页Dermatology Bulletin

基　　金：首都卫生发展科研专项基金(2016-2-2093);北京市属医院科研培育计划(PX2016014)

摘　　要：化脓性肉芽肿(PG)是一种多见于儿童、发生于皮肤或黏膜、常见的良性获得性血管性肿瘤,临床多表现为快速增长的、带蒂或宽基底的单发红色光滑丘疹,轻微损伤极易出血。PG好发于头颈部、四肢末端皮肤及口腔黏膜,患者常因皮损出血不止、影响美观或疼痛需要积极治疗。本病有多种治疗方法,传统方法包括冷冻、CO2激光、手术等;新近治疗包括外用β受体阻滞剂、长脉冲1 064nm Nd:YAG激光等治疗,效果显著、患者耐受性好、不良反应少。PG有一定复发风险、瘢痕形成及暂时性色素异常,在选择治疗时需要兼顾病因、美观及患者耐受性等因素。Pyogenic granuloma （PG） is an acquired benign vascular tumor of the skin and mucosa, mainly occuring in the pediatric population. Clinically, PG commonly presents as a smooth, pedunculated or sessile, red to purple, solid papule with a history of rapid growth, easily bleeding for minor trauma. The most common location of PG is in the atrea of head and neck, followed by extremities and oral mucosa. Patients of PG may face cosmetic problem, spontaneous bleeding and pain, so that effective treatment is needed. The traditional treatment options include cryotherapy, CO2 laser ablation, surgery, but recent promising treatment modalities, such as topical B-blockers and long pulsed 1 064 nm Nd：YAG laser, are effective with less side effect. However, the underlying etiology, cosmetic effects and tolerance of the patients should be concerned when choosing the treatment.

关 键 词：化脓性肉芽肿 治疗 激光 手术 Β受体阻滞剂 

分 类 号：R543[医药卫生—心血管疾病] R597.6[医药卫生—内科学]