手术切除加X线照射治疗增生性瘢痕及瘢痕疙瘩的临床应用探讨  

Radiotherapy of hypertrophic and keloid after excision

作　　者：邓恩[1] 林华明[2] 黄木平[1] 邱世国[1] 

机构地区：[1]茂名市人民医院整形美容科,广东省茂名525000 [2]茂名市人民医院肿瘤放疗科,广东省茂名525000

出　　处：《中国基层医药》2007年第4期625-626,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察手术切除增生性瘢痕及瘢痕疙瘩后行放射治疗的临床效果。方法155例增生性瘢痕及瘢痕疙瘩行手术切除减张后直接缝合或植皮修复,术后24h内（植皮者拆线后）采用X线照射治疗。结果155例术后随访1～3年以上,显效114例,有效36例,无效5例,总有效率约96．8%。结论术后放射治疗对于防治增生性瘢痕及瘢痕疙瘩的复发效果较好,是一种安全有效的方法。Objective To investigate the effect of radiotherapy on the hypertrophic scar and keloid after surgical inhervystion. Methods The hypertrohic scar and keloid was excise and direct nuture or skin grafting performed in 155 cases. The eadiotherapy was applied at the 24h or when the stitch was removed. Results In 1-3 year＇s fullowing up, a satisfaclory effect in 114 cases,obvious effect in 36 cases, and little effect in 5 cases, was achieved in 155 patients. Vin radiotherapy after excision. The overall effective rate was 96.8 %. Conclusion The study shows that postoperstive electron beam irradiation therapy is a kind of safe and effective menthod in inhibiting recurrence of hypertrophic scar and keloid formation and eradionting it.

关 键 词：放射治疗 增生性瘢痕 瘢痕疙瘩 

分 类 号：R6[医药卫生—外科学]