耳部瘢痕疙瘩手术切除后两种治疗方法的临床疗效观察  

Observation of Clinical Effects of Two Treatment Methods after Ear Keloid Resection Surgery

作　　者：宋毅[1] 许琳[1] 王志远[1] 任拥媛[1] 

机构地区：[1]天津市公安医院医学美容科,天津和平300050

出　　处：《医学美学美容（中旬刊）》2012年第8期48-49,共2页

摘　　要：目的：探讨耳部瘢痕疙瘩手术切除后，采用曲安奈德注射及芭克硅树脂凝胶涂药两种不同治疗方法的临床疗效。方法：首先对63例（69耳）瘢痕疙瘩手术切除，根据手术后病损范围，在无张力缝合、维持耳廓外形美观的原则下采用直接缝合或局部皮瓣转移的方法关闭伤口；手术后根据患者需求，选择应用曲安奈德注射30例（33耳）及芭克硅树脂凝胶涂药33例（36耳）方法治疗，评价临床疗效。结果；对63例（69耳）患者治疗结束后，经过一年随访，其中曲安奈德注射组治愈26耳（78．8％），显效4耳（12．1％），无效3耳（9．1％），有效率为90．9％；芭克硅树脂凝胶涂药组治愈28耳（77．8％），显效5耳（13．9％），无效3耳（8．3％），有效率为91．7％，两种方法有效率无统计学差异（χ2=0．054，P〉0．05）。结论：手术切除耳部瘢痕疙瘩后应用以上两种方法治疗，均能有效控制瘢痕疙瘩复发，其中芭克硅树脂凝胶涂药方法简单无创、方便患者、安全有效，无毒副作用，可在临床推广使用。Objectiv To discuss the clinical effects of two different treatment methods by triamcinolone acetonide injection and Kelo--cote silicon gel after ear keloid resection surgery. Methods At first, 63 cases （69 ears） of ear keloid resection surgeries had been taken, and then according to the damage zone, on the basis of tension--free suture and keeping the good shape of the auricle,the methods of primary closure or flap transfer had been adopted;based on the patients＇ needs, 33 cases （33 ears） took triamcinolone acetonide injection and 33 cases （36ears） took Kelo--cote silicon gel. The clinical effects were evaluated. Results After the treatment of these 63 cases （69ears） and one--year long correspondence with the patients, 26 ears（78.8 M ） had been cured by triamcinolone acetonide injectlon, 4ears were efficient （ 12.1% ）, 3 ears were invalid（9.1% ）, the total efficiency rate was 90.9 % ;28 ears had been cured by Kelo--cote silicon gel（77.8 % ）, 5 ears were efficient（ 13.9 % ）, 3 ears were invalid （8.3 % ）, The total efficiency rate was 91.7 %. There was no statistical difference between the two methods. （χ2 =0. 054, P〉0.05）. Conclusion The two methods above are usually used for treatment after ear keloid resection surgery. Both of them are able to control the recurrence of keloid. The method with Kelo--cote silicon gel is simple and non--invasive, convenient for patients, safe, efficient, non--toxic and has no side effects. It can be clinically spread and used.

关 键 词：外耳 瘢痕疙瘩 手术 曲安奈德 芭克硅树脂凝胶 

分 类 号：R764.8[医药卫生—耳鼻咽喉科]