三种手段联合应用治疗瘢痕疙瘩的疗效观察  

The Combination Therapy of Three Approaches for Keloid

作　　者：黄方涛[1] 卢彬 

机构地区：[1]广东医学院附属第二医院医学美容科,广东湛江524003 [2]天津市医学美容中心

出　　处：《中国医师杂志》2004年第10期1309-1310,共2页Journal of Chinese Physician

摘　　要：目的　探索治疗瘢痕疙瘩的有效方法 ,消除临床症状 ,杜绝或减少术后复发。方法　采用CO2 激光清除瘢痕疙瘩 ,创面湿敷丹参溶液 2～ 3周 ,待创面基底完全上皮化后继续在创面基底和边缘定期注射丹参注射液 2～ 3月 ,同时整日敷贴硅凝胶 6月。结果　治疗结束后随访 1～ 2年 ,2 4例 43块瘢痕疙瘩治愈率 60 47% ,显效率 2 7 91% ,总有效率 88 3 7%。达到较满意的临床效果。结论　此方法操作简便 ,疗效确切 ,未发现副反应 ,但仅适合局限的瘢痕疙瘩的治疗。对面积超过 15cm2 瘢痕疙瘩并未涉及。Objective To investigate the effective regime for treating keloid to dispel clinical symtoms and reduce postoperative relapse. Methods Laser of carbon dioxide was applied to remove keloid, and then the wound was dressed with wet dressing of Danshen for 2～3 weeks. After the wound epithelized, the base and edge of the wound was injected with Danshen solution for 2～3 months, and the wound was dressed with silica gel per day for 6 months at the same time. The patients were followed up for 1～2 years. Results The curative rate, obviously effective rate and total effective rate were 60.47%, 27.91% and 88.37%, respevtively, in the twenty-four patients with forty-three pieces of keloid. Conclusion The combination therapy for keloid was simple, effective, without side effect and suitable for local keloid of smaller than 15cm 2 in area.

关 键 词：治疗 瘢痕疙瘩 创面 联合应用 疗效观察 定期 敷贴 手段 结论 面积 

分 类 号：R622[医药卫生—整形外科]