手术加放疗治疗疤痕疙瘩  

Cures of keloids by operation and closely following X-ray therapy

作　　者：周强[1] 钟展芳[1] 姚明昌[1] 

机构地区：[1]肇庆市第一人民医院烧伤整形外科,广东省肇庆526021

出　　处：《中国基层医药》2006年第11期1850-1851,I0004,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察手术加放疗治疗疤痕疙瘩的疗效。方法对63例疤痕疙瘩行手术切除后在24 h内即开始行放射治疗,用100～140 kv浅层X射线行切口局部照射,每天照射1次,连续4 d,总剂量达DT 1 600～2 000 cGY。结果术后切口均Ⅰ期愈合,经半年至1年随访,57例切口局部未再出现新的增生性疤痕,6例出现疤痕复发,但较术前有一定改善,治愈率达90．5％。结论手术加放疗治疗疤痕疙瘩有效,具有复发率低、美容效果好优点。Objective To observe the effect of cures of keloids by operation and closely following X-ray therapy. Methods X-ray therapy was taken in no more than 24 hours after the keloids removing operations on 63 subjects,partly irradiating incision with 100-140kv X-ray,which was continued in the next three days,once for each day,till the total amount reached DT 1600 - 2000cGY. Results All postoperative incision healed in one-stage,all cases were followed up for 6-12 months,the new hyperplastic scar didn＇t appeare on the incision of 57 subjects, while this happened on those of the other six with some improvement after operation than before operation. Rate of healing reached 90.5 % . Conclusion Cure of keloid by operation and closely following X-ray therapy can reach low recurrence and aesthetic effection,and it is worth popularizing in the clinic.

关 键 词：手术 放疗 疤痕 

分 类 号：R622[医药卫生—整形外科]