手术联合局部放疗治疗耳部瘢痕疙瘩的临床观察
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王嘉玺,Email:wangjiaxi910@163.com


Clinical observation of modified surgical resection and local radiotherapy for auricle keloid
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    摘要:

    目的 观察采用“月牙形”切口手术联合局部放疗治疗耳部瘢痕疙瘩患者中的临床疗效。方法选取2015年6月—2017年6月北京中医药大学东方医院耳鼻咽喉科收治的60例耳部瘢痕患者为研究对象,应用“月牙形”切口手术切除瘢痕内核,术后辅助局部放疗。结果60例患者中2例放疗后发生皮瓣血运障碍致使局部紫暗肿胀,经换药后好转,所有患者随访12~20个月,治愈42例(70.00%),显效16例(26.67%),总有效率96.67%;复发2例,复发率 3.33%。结论采用“月牙形”切口手术联合局部放疗治疗耳部瘢痕疙瘩效果理想,复发率低,值得推广应用。

    Abstract:

    Objective To observe the clinical efficacy of modified surgical excision and local radiotherapy for auricle keloid.MethodsA total of 60 cases of patients with auricle keloid were selected as the objects of study,who were admitted to Department of Otolaryngology, East Hospital of Beijing University of Chinese Medicine from June 2015 to June 2017. The crescentshaped incision was used to remove the keloids assisted local radiotherapy.ResultsAll 60 patients of auricle keloids were followed up for 12 to 20 months, and the total effective rate was 96.67%. 42 cases (70.00%) were cured, and 16 cases (26.67%) were significant effect. However, 2 cases of 60 patients were recurrence, and the recurrence rate was 3.33%. The 2 cases of recurrence after radiotherapy become dark and swelling due to blood supply disorder, which were recovered after dressing change.ConclusionThe application of modified surgical resection combined with radiotherapy in the treatment of auricle keloid has an ideal effect and a low recurrence rate, which is worthy of popularization and application.

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王宇婷,王嘉玺.手术联合局部放疗治疗耳部瘢痕疙瘩的临床观察[J].中国耳鼻咽喉颅底外科杂志,2020,26(1):84-86

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  • 在线发布日期: 2020-02-29
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