化脓性肉芽肿的治疗进展  

Advances in the Treatment of Pyogenic Granuloma

作　　者：高原(综述) 霍然(审校)[1,2] GAO Yuan;HUO Ran(Department of Burn and Plastic Surgery,Shandong Provincial Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250021,Shandong,China;Department of Burn and Plastic Surgery,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,Shandong,China)

机构地区：[1]山东大学附属省立医院烧伤整形美容外科,山东济南250021 [2]山东第一医科大学附属省立医院烧伤整形美容外科,山东济南250021

出　　处：《中国美容医学》2022年第9期187-192,共6页Chinese Journal of Aesthetic Medicine

摘　　要：化脓性肉芽肿(Pyogenic granuloma,PG)是一种获得性良性血管增生性肿瘤,好发于面颈部,也见于四肢、躯干等部位。临床表现多为单一的红色带蒂息肉样或宽基底肿物,增长迅速、质脆、易出血,表面光滑或呈分叶状,可有溃疡形成。PG的临床诊断主要依据患者症状及体格检查,皮肤镜和超声可作为诊断PG简便、快速、无创的辅助手段,确诊必须通过组织病理学检查。目前针对PG的治疗手段多样,临床应用效果不一,尚无统一的推荐意见。常见的治疗手段包括:手术治疗、物理治疗、激光治疗、药物治疗和硬化注射治疗。本文对目前PG的常见治疗方法进行综述,并对比各种治疗方法的优势与不足,建议在实际临床应用中制定个体化的治疗方案。Pyogenic granuloma (PG) is an acquired benign angioproliferative neoplasm with a predilection for the face and neck,but also found on the extremities,trunk,and other sites.The clinical picture is dominated by a single red pedunculated polypoid or broad basal mass,which grows rapidly.The mass is brittle and easily hemorrhagic,and its surface is smooth or lobulated,which may have ulceration.The clinical diagnosis of PG is mainly based on the symptoms and physical examination of the patient.Dermoscopy and ultrasound can be used as simple,rapid and non-invasive adjuncts for the diagnosis of PG.Final diagnosis must be confirmed by histopathological examination.At present,there is no consensus for the treatment of pyogenic granuloma,as there are a variety of treatments with different clinical effects.Common treatments include:surgical therapy,physical therapy,laser therapy,drug therapy and sclerotherapy.In this review,we summarize the current common treatments for PG and compare the strengths and weaknesses of various treatments,suggesting individualized regimens for practical clinical applications.

关 键 词：化脓性肉芽肿 分叶状毛细血管瘤 皮肤镜 手术治疗 全层皮肤切除 激光治疗 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]