瘢痕组织瓣修复术联合曲安奈德注射治疗耳廓瘢痕疙瘩  

Clinical Effect of Scar Tissue Flap Repair Combined with Triamcinolone Acetonide Injection in the Treatment of Auricle Keloid

作　　者：王瑜玲 罗东 WANG Yu-ling;LUO Dong(Department of Otorhinolaryngology,Sichuan Provincial Corps Hospital,Leshan 614000,Sichuan,China;Department of Burn and Plastic Surgery,Sichuan Provincial Corps Hospital,Leshan 614000,Sichuan,China)

机构地区：[1]武警四川省总队医院耳鼻喉科,四川乐山614000 [2]武警四川省总队医院烧伤整形科,四川乐山614000

出　　处：《中国美容医学》2019年第8期91-93,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析瘢痕组织瓣修复术联合曲安奈德注射治疗耳廓瘢痕疙瘩的临床疗效。方法:选择笔者医院2012年5月-2017年5月收治的110例耳廓瘢痕疙瘩患者,按治疗方法不同分为对照组(n=68)和研究组(n=42)。对照组采用瘢痕组织瓣修复术治疗,研究组采用瘢痕组织瓣修复术联合曲安奈德注射治疗。比较两组临床疗效,治疗前后温哥华瘢痕量表(Vancouver scar scale,VSS)评分,不良反应及复发情况。结果:研究组总有效率为92.86%(39/42)高于对照组的77.94%(53/68),差异有统计学意义(P<0.05)。治疗前,两组VSS评分比较差异无统计学意义(P>0.05);治疗后,两组VSS评分均下降,研究组低于对照组,差异有统计学意义(P<0.05)。治疗期间,对照组无明显不良反应发生,研究组不良反应发生率为4.76%(2/42),组间比较差异无统计学意义(P>0.05)。研究组术后1年复发率为4.76%(2/42)低于对照组的17.65%(12/68),差异有统计学意义(P<0.05)。结论:瘢痕组织瓣修复术联合曲安奈德注射治疗耳廓瘢痕疙瘩临床疗效较好,可促进瘢痕疙瘩修复,降低术后复发率,安全可靠。Objective To analyze the clinical efficacy of scar tissue flap repair combined with triamcinolone acetonide injection in the treatment of auricle keloid.Methods 110 patients with auricular keloid admitted to our hospital from May 2012 to May 2017 were divided into the control group(n=68)and the research group(n=42)according to different treatment methods.The control group was treated with scar tissue flap repair.The study group was treated with scar tissue flap repair combined with triamcinolone acetonide injection.The clinical efficacy,Vancouver Scar Scale(VSS)score before and after treatment,adverse reactions and recurrence were compared between the two groups.Results The total effective rate of the study group was 92.86%(39/42)higher than that of the control group(77.94%,53/68),the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in VSS scores between the two groups(P>0.05).After treatment,the VSS scores of both groups decreased,and that of the study group was lower than that of the control group(P<0.05).During the treatment period,there were no obvious adverse reactions in the control group,and the incidence of adverse reactions in the study group was 4.76%(2/42),there was no significant difference between the two groups(P>0.05).The one year recurrence rate in the study group was 4.76%(2/42)lower than that in the control group(17.65%,12/68,P<0.05).Conclusion The clinical effect of scar tissue flap repair combined with triamcinolone acetonide injection in the treatment of auricle keloid is superior to that of scar tissue flap repair,which can promote the repair of the auricle keloid,reduce the postoperative recurrence rate,and is safe and reliable.

关 键 词：耳廓瘢痕疙瘩 瘢痕组织瓣修复术 曲安奈德 注射 临床疗效 安全性 

分 类 号：R619.6[医药卫生—外科学]