[摘要]目的：为了探索颜面部皮脂腺囊肿理想的治疗方案，减少瘢痕的大小，作者对458例颜面部皮脂腺囊肿患者依据囊肿的大小分组，采取不同的治疗方案。方法：将皮脂腺囊肿直径小于1.5cm的采用多功能电离子治疗，而囊肿直径大于1.5cm的则采用小切口微创摘除术。结果：所有患者均Ⅰ期愈合。随访3月～1年， 2例患者复发，均为应用电离子治疗的患者，且有既往红肿或破溃史，复发的患者采用小切口微创摘除术治愈。所有患者瘢痕均不明显，治疗效果满意。结论：通过依据囊肿的大小，分别采用电离子治疗或小切口微创摘除术治疗颜面部皮脂腺囊肿，患者创伤小，愈合后瘢痕不明显，满意度高，值得推广。

    [关键词]皮脂腺囊肿；面部；电离子治疗；小切口

    [中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2012)03-0367-02

    The application of the multifunction of electric ion treatment instrument and a small incision surgical excision to 458 cases with facial sebaseous cyst

    XIE Li-yun

    (Department of Burn and Plastic Surgery of Harrison International Peace hospital,Hengshui 053000,Hebei,China)

    Abstract: Objective In order to explore an ideal treatment methods for facial sebaseous cyst,it could reduce scar formation,and obtain a satisfactory therapeutic effect. Methods Through the application of the multifunction of electric ion treatment instrument and a small incision surgical excision to facial sebaseous cyst,458 cases were divided into two groups according to the diameter of the cyst.With the group with the diameter more than 1.5cm,the multifunction of electric ion treatment instrument was used,and with the group with the diameter less than 1.5 cm,a small incision surgical excision was selected. Results All the patients were cured with PhaseⅠand all the patients were followed up 3 months to 1 year.Postoperative scar,postoperative recurrence and patients'satisfaction were recorded.It was showed only two cases had postoperative recurrence,all the postoperative scars were not apparent,and all the patients were satisfied. Conclusion According to the diameter of the cyst,the application of the multifunction of electric ion treatment instrument and a small incision surgical excision was selected separately. less trauma, less postoperative scar,less postoperative recurrence and all the patients were satisfied,it was worth promoting. ......