目的:研究XL-射频皮肤治疗仪(解放军总医院理疗科研制)消融技术去除睑黄瘤的方法并观察其疗效。方法:采用射频消融治疗40例(73处病变),病变长3～15mm,宽3～10mm,面积6～150(平均44±34)mm2。射频消融电极沿着睑黄瘤病变部位分层达底部,形成保护层。随访观察1～3a。结果:40例(73个病变)1次治愈35例67处病变,4例6处病变1次去除后残留很少部分,2次去除后痊愈,无疤痕。1例2处病变术后7mo复发,2例2处治疗部位轻微的色素脱失。39例痊愈,1例显效。射频消融治疗后眼睑疼痛不明显,次日创面结痂,0.5mo左右脱落。部分病例脱痂后局部皮肤发红,6～10mo消退。XL-射频皮肤治疗仪消融去除睑黄瘤手术操作方便,在手术放大镜下精准性高、视野清晰,手术时不出血、时间短、无烟雾、患者痛苦少、一次性消融电极,术后炎症反应轻、无感染、未用抗生素预防感染,愈合后无肉眼可见的疤痕、复发率低。结论:XL-射频皮肤治疗仪消融去除睑黄瘤是一项精准度易于控制、疗效显著的手术技术,值得临床推荐的新疗法。

AIM:Therapeutic methods of XL-radiofrequency abla-tion skin apparatus (invented by department of Phy-siotherapy,Chinese PLA General Hospital) in eradicating xanthelasma palpebrarum are studied and their clinical effects are investigated.METHODS:XL-radiofrequency ablation skin apparatus was performed on 40 cases 73 lesions of xanthelasma palpebrarum with the length of 3-15mm and width of 3-10mm in an area of 6-150 (average 44±34)mm2 by separat-ing layer and ablation removing methods.The postopera-tive follow-up durations ranged from 1 to 3 years.RESULTS:In 40 patients with 73 lesions,35 cases 67 lesions were cured successfully by once and 4 cases 6 lesions by twice with well healing,no-scarring with cure in 39 cases and marked result in 1 case.1 case 2 lesions had a recurrence in postoperation of 7 months,2 cases 2 lesions had a slight hypopigmentation.The protective crust over lesion was formed next day and fall off half month postoperation.Local erythemia in several cases occurred after the crust fall off and disappeared during 6 to 10 months.XL-radiofrequency ablation skin apparatus offered several advantages,such as easy operation,high accuracy,clear visible field under the operative magnifier,no bleeding,shorter operation time,no smog,little pain,one-off ablation electrode during the procedure,slight inflammation reaction,no infection,no antibiotics follow-ing operation,no visible scarring and lower recurrence after healing.CONCLUSION:The efficacy of XL-radiofrequency abla-tion skin apparatus is significantly more evident and safe in eradicating xanthelasma palpebrarum.

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