手术联合放疗治疗瘢痕疙瘩的效果及影响复发的因素分析  

Effect of surgery combined with radiotherapy in the treatment of keloid and analysis of factors influencing recurrence

作　　者：陈玲 黄志群[2] 陆钢[2] 谷世行[2] 唐强[2] 滕景存 梁飞腾 卢柳[2] 韦达隆 李树宵 吴寅 林自认 沈阳 林佳媚 Chen Ling;Huang Zhiqun;Lu Gang;Gu Shixing;Tang Qiang;Teng Jingcun;Liang Feiteng;Lu Liu;Wei Dalong;Li Shuxiao;Wu Yin;Lin Ziren;Shen Yang;Lin Jiamei(Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Burn Plastic Surgery and Wound Repair,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院研究生学院,广西百色533000 [2]右江民族医学院附属医院烧伤整形与创面修复外科,广西百色533000

出　　处：《右江民族医学院学报》2020年第5期604-608,共5页Journal of Youjiang Medical University for Nationalities

摘　　要：目的探讨手术联合放疗治疗瘢痕疙瘩的效果及影响复发的因素。方法回顾性分析2015年1月—2018年12月204例瘢痕疙瘩患者的临床资料,对比分析手术联合治疗与非手术治疗患者的疗效及复发率,分析影响瘢痕复发的因素。结果204例瘢痕疙瘩患者中有45例复发,复发率为22.06%。手术联合放疗的疗效明显好于非手术治疗(P<0.001)。在二元logistic回归分析中,感染史、瘢痕疙瘩的宽度、瘢痕疙瘩的治疗方法与复发有关。结论与非手术治疗相比,手术联合放疗治疗瘢痕疙瘩的疗效更佳,能提高治愈率,降低复发率。伤口感染史、瘢痕疙瘩的宽度、治疗方法是影响瘢痕疙瘩复发的因素。Objective To investigate the effect of surgery combined with radiotherapy in the treatment of keloid and the factors affecting recurrence.Methods The clinical data of 204 patients with keloid from January 2015 to December 2018 were retrospectively analyzed.The efficacy and recurrence rates of combined surgical treatment and non-surgical treatment were compared and analyzed,and the factors affecting keloid recurrence were analyzed.Results Among 204 patients with keloid,45 cases suffered recurrence,and the recurrence rate was 22.06%.The curative effect of surgery combined with radiotherapy was significantly better than that of non-surgical treatment(P<0.001).In binary logistic regression analysis,the history of infection,the width of keloid and the treating methods of keloid were associated with recurrence.Conclusion Compared with non-surgical treatment,the combination of surgery and radiotherapy is more effective in the treatment of keloid,which can improve the cure rate and reduce the recurrence rate.The history of wound infection,the width of keloid and the treating methods are the factors that influence the recurrence of keloid.

关 键 词：瘢痕疙瘩 复发 手术 放疗 

分 类 号：R619.6[医药卫生—外科学]