瘢痕疙瘩误诊误治原因探讨  

Misdiagnosis and mistreatment of keloid:analysis of 36 cases

作　　者：黄方涛[1] 符致玮[1] 

机构地区：[1]广东医学院附属第二医院,广东湛江524003

出　　处：《临床误诊误治》2004年第7期495-497,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探索瘢痕疙瘩误诊误治的原因 ,提高治疗效果。方法将各医疗机构治疗后复发的 3 6例瘢痕疙瘩进行回顾性分析。结果由于部分医生专业水平的限制和经济利益的驱动 ,以及求诊者的盲目求医 ,造成瘢痕疙瘩的误诊与误治 ,使之迅速复发、增大 ,症状加重。结论瘢痕疙瘩应注意与增生性瘢痕鉴别 ,并采取正确的治疗方法。本组均经再次手术及综合治疗 。Objective To explore causes for misdiagnosis and mistreatment of keloid in order to improve curative effect. Methods 36 cases of recurrent keloid,once treated elsewhere,were analyzed retrospectively. Results The misdiagnosis and mistreatment of keloid resulted most from lack of professional knowledge and simply pursuing economic benifet by medical professionals.And they were also due to patients blindly seeking medical advice.All these made keloid recurrent fast,enlargened and symptoms worse. Conclusions Keloid should be differentiated from hyperplastic scar.And proper management should be applied.For the subjects in this study,satisfactory response was obtained after the second operation and complex treatment were implemented.

关 键 词：瘢痕疙瘩 误诊 外科学 治疗失败 瘢痕 肥大性 

分 类 号：R622[医药卫生—整形外科]