皮肤扩张术联合术后早期电子线放疗治疗下颌角痤疮后瘢痕疙瘩  

Treatment of keloids after acne on mandibular angle by skin expansion combined with early postoperative electron beam radiotherapy

作　　者：陈强 蔡景龙 宗宪磊 何永强 周振山 

机构地区：[1]中国医学科学院整形外科医院瘢痕综合治疗中心,北京100144 [2]河南省电力医院烧伤整形科 [3]解放军307医院放射诊疗中心

出　　处：《实用皮肤病学杂志》2014年第3期210-213,共4页Journal of Practical Dermatology

基　　金：北京市自然科学基金(7122138);中国医学科学院整形医院院所基金重大项目(5201010402)

摘　　要：目的探讨皮肤扩张术联合术后早期电子线放疗治疗下颌角痤疮后瘢痕疙瘩的疗效。方法 10例下颌角痤疮后瘢痕疙瘩患者(皮损面积5.0 cm×5.0 cm^15.0 cm×7.0 cm,高度0.5~1.5 cm)接受皮肤扩张术联合术后早期电子线放疗,术后随访12~24个月评价疗效。结果 10例患者均全部完成治疗过程,扩张皮瓣转移后无坏死和切口瘢痕疙瘩复发,结果满意。主要并发症为一期手术后出现血肿1例,注水壶翻转注水困难1例,经过对症处理均治愈。结论皮肤扩张术联合术后早期电子线放疗是治疗下颌角痤疮后瘢痕疙瘩较好的方法。ObjectiveTo investigate the clinical efifcacy of skin expansion combined with early postoperative electron beam radiotherapy in keloids after acne on mandibular angle.MethodsTen patients with keloids after acne on mandibular angle were received treatment of skin expansion combined with early postoperative electron beam radiotherapy. The keloid size varied from 5.0 cm×5.0 cm to 15.0 cm × 7.0 cm and the height varied from 0.5cm to 1.5cm. We followed up from 12 to 24 months to investigate the clinical efifcacy.ResultsTen patients completed the whole course of treatment successfully without lfap necrosis and wound keloids recurrence. The main complications were 1 case of hematoma and 1 case of the injection dififculty, the questions were solved by removing the hematoma and adjusting the injection pot operation separately.ConclusionsSkin expansion combined with early postoperative electron beam radiotherapy is a good method for keloids after acne on mandibular angle.

关 键 词：瘢痕疙瘩 痤疮 皮肤扩张术 放射治疗 

分 类 号：R622[医药卫生—整形外科]