多功能电离子手术联合~(90)锶治疗复发性耳廓瘢痕疙瘩
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摘要
目的观察多功能电离子手术联合~(90)锶放射治疗复发性耳廓瘢痕疙的临床疗效。方法 2014年12月～2016年12月,30例复发性耳廓瘢痕疙瘩患者,先用多功能电离子手术气化切除耳廓瘢痕疙瘩,术后等创面愈合后,加用吸收剂量为6～15Gy~(90)锶耳廓放射治疗。结果 30例患者经过电离子手术和术后~(90)锶放射综合治疗,一年后复查,未见复发。结论多功能电离子手术联合~(90)锶放射治疗是治疗复发性耳廓瘢痕疙瘩的一个有效方法。
Objective To investigate the clinical efficiency of Multi-function electric ion surgery and~(90) Sr in treating recurrence of ear auricular keloids. Method From December 2014 to December 2016,30 cases with recurrence of ear auricular keloids were operated with Multi-function electric ion surgery.After the ear wound healing, the keloids were treated with~(90) Sr. The total absorbed dose was 6～15 Gy. Result 30 cases were treated with Multi-function electric ion surgery and~(90) Sr. After one year,ear auricular keloids were not recurrence. Conclusion Multi-function electric ion surgery and~(90) Sr is an effective method for treatment of recurrence ear auricular keloids.
Objective To investigate the clinical efficiency of Multi-function electric ion surgery and~(90) Sr in treating recurrence of ear auricular keloids. Method From December 2014 to December 2016,30 cases with recurrence of ear auricular keloids were operated with Multi-function electric ion surgery.After the ear wound healing, the keloids were treated with~(90) Sr. The total absorbed dose was 6～15 Gy. Result 30 cases were treated with Multi-function electric ion surgery and~(90) Sr. After one year,ear auricular keloids were not recurrence. Conclusion Multi-function electric ion surgery and~(90) Sr is an effective method for treatment of recurrence ear auricular keloids.
引文
1鲁开化,李威扬,马显杰,等.耳部瘢痕疙瘩核心切除及瘢痕组织瓣修复并及时放疗的方法介绍[J].中国美容医学,2014,23(18):1495-1496.
2蔡景龙,张宗学.现代瘢痕治疗学[M].1版.北京:人民卫生出版社,1998:161.
3 Scrimali L,Lomeo G,Nolfo C,et al.Treatment of hypertrophic scars and keloids with a fractional CO2laser:A personal experience[J].Cosmet Laser Ther,2010,12:218-221.
4 AradiIK Al,Alawadhi SA,Alkhawaja FA.Earlobe Keloids:A pilot study of the efficiency of keloidectomy with core fillet flap and adjuvant intralesional corticosteroids[J].Dermatol Surg,2013,39(10):1514-1519.
5 Ogawa R,Akaishi S,Dohi T,et al.Analysis of the surgical treatments of 63 keloids on the cartilaginous part of the auricle:effectiveness of the core excision method[J].Plast and Reconstr Surgery,2015,135(3):868-875.
6白朝,王莹.瘢痕瓣结合90锶放射治疗耳部瘢痕疙瘩42例观察[J].中国中西医结合皮肤性病学杂志,2014,13(6):382-383.
7白忠,吕操,牛霞,等.YAG激光综合治疗耳廓瘢痕疙瘩[J].临床耳鼻咽喉头颈外科杂志,2010,24(22):1047-1048.
8吕操,白忠,钮燕.多功能电离子手术综合治疗耳廓瘢痕疙瘩[J].临床耳鼻咽喉头颈外科杂志,2016,30(5):404-405.
9武建军,王放,张彩凤,等.瘢痕疙瘩美容术后放射治疗的临床效果[J].中华医学美学美容杂志,2014,20(3):231-232.
10柯朝阳,曾凡倩,张静,等.手术加放疗治疗耳部瘢痕疙瘩的疗效分析[J].中华耳科学杂志,2012,10(3):368-370.
11胡湘元,黄文华,李宏辉,等.手术切除与术后压力治疗耳部瘢痕疙瘩的临床效果观察[J].中国当代医药,2015,22(11):93-95.
12吴永柏,颜培娥,崔丽华,等.多功能电离子开窗联合山莨菪碱等药物治疗耳廓假性囊肿[J].临床耳鼻咽喉头颈外科杂志,2015,29(17):1561-1562.
13黄志群,陆钢,谷世行,等.三种疗法治疗瘢痕疙瘩的比较研究[J].医学与哲学,2013,34(2B):33-51.
14傅烨生,刘影,郝慧钧,等.90锶-90钇敷贴联合得宝松注射治疗头面部瘢痕疙瘩的疗效观察[J].组织工程与重建外科,2014,10(5):272-273.
15龙飞,王晓军.瘢痕疙瘩放射治疗的研究进展[J].中华整形外科杂志,2016,32(2):158-160.
2蔡景龙,张宗学.现代瘢痕治疗学[M].1版.北京:人民卫生出版社,1998:161.
3 Scrimali L,Lomeo G,Nolfo C,et al.Treatment of hypertrophic scars and keloids with a fractional CO2laser:A personal experience[J].Cosmet Laser Ther,2010,12:218-221.
4 AradiIK Al,Alawadhi SA,Alkhawaja FA.Earlobe Keloids:A pilot study of the efficiency of keloidectomy with core fillet flap and adjuvant intralesional corticosteroids[J].Dermatol Surg,2013,39(10):1514-1519.
5 Ogawa R,Akaishi S,Dohi T,et al.Analysis of the surgical treatments of 63 keloids on the cartilaginous part of the auricle:effectiveness of the core excision method[J].Plast and Reconstr Surgery,2015,135(3):868-875.
6白朝,王莹.瘢痕瓣结合90锶放射治疗耳部瘢痕疙瘩42例观察[J].中国中西医结合皮肤性病学杂志,2014,13(6):382-383.
7白忠,吕操,牛霞,等.YAG激光综合治疗耳廓瘢痕疙瘩[J].临床耳鼻咽喉头颈外科杂志,2010,24(22):1047-1048.
8吕操,白忠,钮燕.多功能电离子手术综合治疗耳廓瘢痕疙瘩[J].临床耳鼻咽喉头颈外科杂志,2016,30(5):404-405.
9武建军,王放,张彩凤,等.瘢痕疙瘩美容术后放射治疗的临床效果[J].中华医学美学美容杂志,2014,20(3):231-232.
10柯朝阳,曾凡倩,张静,等.手术加放疗治疗耳部瘢痕疙瘩的疗效分析[J].中华耳科学杂志,2012,10(3):368-370.
11胡湘元,黄文华,李宏辉,等.手术切除与术后压力治疗耳部瘢痕疙瘩的临床效果观察[J].中国当代医药,2015,22(11):93-95.
12吴永柏,颜培娥,崔丽华,等.多功能电离子开窗联合山莨菪碱等药物治疗耳廓假性囊肿[J].临床耳鼻咽喉头颈外科杂志,2015,29(17):1561-1562.
13黄志群,陆钢,谷世行,等.三种疗法治疗瘢痕疙瘩的比较研究[J].医学与哲学,2013,34(2B):33-51.
14傅烨生,刘影,郝慧钧,等.90锶-90钇敷贴联合得宝松注射治疗头面部瘢痕疙瘩的疗效观察[J].组织工程与重建外科,2014,10(5):272-273.
15龙飞,王晓军.瘢痕疙瘩放射治疗的研究进展[J].中华整形外科杂志,2016,32(2):158-160.