摘要: This article provides information on the clinical development of skin reactions after cryosurgery/cryotherapy and indications, complications contraindications cryosurgery. Successful cryosurgery requires rapid freezing slow thawing, minimum tissue temperature -25 to -60℃ and, in malignant lesions, repetition freeze-thaw cycle. Frozen reacts with peripheral erythema immediately followed by edema, bulla formation, exudation mumification. Lesions usually heal a fine atrophic scar approximately 4 weeks. Nowadays, is considered treatment choice hypertrophic scars keloids, granuloma annulare, small capillary infantile hemangioma isolated actinic keratoses. It also valuable alternative therapy for various other diseases, including common warts, solar lentigo, superficial basal cell carcinoma Kaposi's sarcoma. Cryosurgery safe regimen relatively few adverse effects contraindications. Pain during and/or shortly treatment, formation local edema are major temporary effects; lesional hypopigmentation hyperpigmentation most long-term complication.
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E. W. Breitbart, G. Schaeg, M. Jänner, W. Rehpenning, A. Carstensen, Kryochirurgie I. Kryochirurgie, Kryotechnik, Kryonekrose Ultrastrukturelle Morphologie der Kryoläsion Springer Berlin Heidelberg. pp. 45- 56 ,(1988) , 10.1007/978-3-642-73581-3_5
Cryotherapy in dermatology Journal Der Deutschen Dermatologischen Gesellschaft. ,vol. 1, pp. 322- 327 ,(2003) , 10.1046/J.1610-0387.2003.T01-1-02511.X
S. Michel, U. Wlotzke, U. Hohenleutner, M. Landthaler, Laser- und Kryotherapie der Säuglingshämangiome im direkten Vergleich Hautarzt. ,vol. 49, pp. 192- 196 ,(1998) , 10.1007/S001050050726
Dj. Djawari, Kontaktkryochirurgische Frühbehandlung des Säuglingshämangioms Aktuelle Dermatologie. ,vol. 19, pp. 55- 64 ,(1999) , 10.1007/978-3-642-80347-5_5
Cavenelle F, Bernard P, Kalis B, Morel M, Cambie M, Léonard F, Salmon-Ehr, Bernardeau K, Derancourt C, [Cryosurgery of basal cell carcinoma: a study of 358 patients]. Annales De Dermatologie Et De Venereologie. ,vol. 127, pp. 175- 179 ,(2000)
E. W. Breitbart, G. Schaeg, M. Jänner, W. Rehpenning, A. Carstensen, Kryochirurgie II. Kontrollmöglichkeiten der Kryochirurgie Anwendung in der Dermatologie Springer, Berlin, Heidelberg. pp. 57- 68 ,(1988) , 10.1007/978-3-642-73581-3_6
Setrag A. Zacarian, Cryosurgery of cutaneous carcinomas Journal of The American Academy of Dermatology. ,vol. 9, pp. 947- 956 ,(1983) , 10.1016/S0190-9622(83)70213-6
Douglas Torre, Continuing medical education (dermatologic surgery): cryosurgery of basal cell carcinoma Journal of The American Academy of Dermatology. ,vol. 15, pp. 917- 929 ,(1986) , 10.1016/S0190-9622(86)70251-X
Stephen E. Chiarello, Cryopeeling (Extensive Cryosurgery) for Treatment of Actinic Keratoses: An Update and Comparison Dermatologic Surgery. ,vol. 26, pp. 728- 732 ,(2000) , 10.1046/J.1524-4725.2000.99197.X
U. BLUME-PEYTAVI, CH. C. ZOUBOULIS, H. JACOBI, A. SCHOLZ, S. BISSON, C.E. ORFANOS, Successful outcome of cryosurgery in patients with granuloma annulare British Journal of Dermatology. ,vol. 130, pp. 494- 497 ,(1994) , 10.1111/J.1365-2133.1994.TB03384.X