小汗腺血管瘤样错构瘤的手术治疗策略及临床疗效分析

Surgical Treatment Strategies and Clinical Efficacy Analysis of Eccrine Angiomatous Hamartoma

摘要: 目的：探讨小汗腺血管瘤样错构瘤(Eccrine Angiomatous Hamartoma, EAH)的手术治疗策略及临床疗效。方法：回顾性分析2021年7月至2025年1月收治的8例经病理确诊的EAH患者，其中男性6例，女性2例，年龄2~46岁(平均年龄9岁)，皮损大小1 cm × 2 cm~15 cm × 16 cm。根据皮损范围行完整切除术，创面修复采用减张缝合或自体皮片移植。术后随访3~12个月，评估症状缓解、瘢痕形成及复发情况。结果：所有患者术后疼痛及瘙痒症状显著缓解，切口愈合良好，暂无感染或皮片坏死等并发症，随访期间无复发。结论：手术完整切除是治疗EAH的有效方法，结合创面修复技术(减张缝合或全厚皮移植)可同时实现功能和外观的修复。

Abstract: Objective: Exploring surgical treatment strategies and clinical efficacy of eccrine angiomatous hamartoma (EAH). Methods: A retrospective analysis was conducted on 8 EAH patients treated between July 2021 and January 2025, comprising 6 males and 2 females, aged 2 to 46 years (mean age: 9 years). Lesion sizes ranged from 1 cm × 2 cm to 15 cm × 16 cm. Complete excision was performed based on lesion extent, with wound repair achieved via tension-reducing sutures or autologous skin grafting. Postoperative follow-up (3~12 months) assessed symptom relief, scar formation, and recurrence rates. Results: All patients exhibited marked alleviation of postoperative pain and pruritus, with incisions demonstrating satisfactory healing. No complications such as infection or skin graft necrosis were observed, and no recurrence was detected during the follow-up period. Conclusion: Complete surgical excision is an effective treatment for EAH, and when combined with wound repair techniques (tension-reducing sutures or full-thickness skin grafting), it can achieve both functional and cosmetic restoration.