二氧化碳激光加得宝松封闭治疗瘢痕疙瘩  

Treatment of Keloid with CO_2 Laser Followed by Dippospan Local Blocking

作　　者：钟贵玲[1] 李素霞[1] 胡瑛[1] 黄胜华[1] 郭栋[1] 欧阳春[1] 

机构地区：[1]中山大学附属第三医院,广东广州510630

出　　处：《实用医技杂志》2007年第14期1891-1892,共2页Journal of Practical Medical Techniques

摘　　要：目的:探讨治疗瘢痕疙瘩的有效方法,提高治疗效果。方法:回顾性分析62例瘢痕疙瘩患者的临床资料,患者分为A组、B组,A组28例患者单纯得宝松封闭治疗;B组34例患者用二氧化碳激光手术切除瘢痕疙瘩,伤口脱痂愈合后即行得宝松封闭治疗;4周封闭治疗一次,连续治疗3次。结果:A组28例患者治愈10例;好转16例;无效2例。B组34例患者治愈21例;好转13例;无效为0。经χ2检验,P<0.05,两组比较差异有显著性。结论:二氧化碳激光手术切除瘢痕疙瘩加得宝松封闭治疗瘢痕疙瘩,效果良好,副作用少,安全可靠,是目前国内外治疗瘢痕疙瘩较为理想的方法。Objective To investigate a better way to treat keloid, and enhance the curative effect. Methods Analyzing the clinic information of 62 patients with keloid by retrospective study. All of the patients are devided into two group, group A and group B. 28 patients in group A were treated by dippospan lacal blocking; 34 patients in group B were treated by operation with CO2 Laser at first, and then by dippospan local blocking when the wounds dosed up. The local blocking in all the patients was carried for 3 times, with a 4-weeks interval. Results In group A,keloid were healed in 10 patients, better in 16 patients, inefficacy in 2 patients. In group B, keloid was healed in 21 patients, better in 13 patients. The statistic analysis showed there was a prominent difference between the two means. （X^2 test, P 〈0. 05）. Conclusion The combination of operation with CO2 laser and dippospan local blocking had better effects in treating keloid, without side effects.

关 键 词：二氧化碳激光 瘢痕疙瘩 药物封闭治疗 

分 类 号：R622[医药卫生—整形外科]