多技术联合治愈毛囊闭锁三联征1例报告  

A Case Report of Follicular Occlusion Triad Cured by Multi-technique Interventions

作　　者：陈琳 何华清 王世才 李杰辉[2] 刘明[2] CHEN Lin;HE Huaqing;WANG Shicai;LI Jiehui;LIU Ming(Grade 2020,Faculty of TCM Surgery,Guangxi University of Chinese Medicine,Nanning,Guangxi 530001,China;Department of Wound Repair and Peripheral Vascular Diseases,The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning,Guangxi 530023,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学第一附属医院创面修复周围血管科,广西南宁530023

出　　处：《中国烧伤创疡杂志》2024年第5期351-354,357,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：2020年校级青年基金项目(2020QN010)。

摘　　要：给予2022年6月2日广西中医药大学第一附属医院收治的1例严重毛囊闭锁三联征(FOT)患者在抑制毛囊角化及皮脂分泌、减轻毛囊闭锁与抗生素抗感染等治疗的基础上,头部及胸背部创面于脓肿切开引流术后行湿润烧伤膏药纱换药治疗,腋窝处创面于病灶去顶外置搔刮术后行湿润烧伤膏药纱条引流治疗,臀部创面于根治性切除术、负压封闭引流、刃厚皮片移植术后行湿润烧伤膏换药治疗,入院后42 d所有创面均基本愈合;出院后随访4个月,愈后皮肤未见结节及脓肿复发,且无明显特殊不适。One patient with severe follicular occlusion triad(FOT)was admitted to The First Affiliated Hospital of Guangxi University of Chinese Medicine on June 2,2022.The patient was given treatments to inhibit follicular keratinization and sebum secretion,alleviate follicular occlusion and control infection,and the local wounds at head and chest-back were managed with MEBO-impregnated gauze dressing change treatment after abscess incision and drainage,the local wound at armpit was managed with MEBO-impregnated gauze strip drainage after wound surface debridement and curettage,and the local wounds at buttocks with MEBO dressing change following radical excision,vacuum sealing drainage,and split-thickness skin grafting.All wounds were basically healed 42 days after admission.The follow-up four months after discharge found no nodules or abscess recurrence on the healed skin,and no significant discomfort was reported.

关 键 词：根治性切除术 负压封闭引流 刃厚皮片移植 湿润烧伤膏 毛囊闭锁三联征 

分 类 号：R753.3[医药卫生—皮肤病学与性病学]