微型环钻切除术联合电子线治疗下颌瘢痕疙瘩36例疗效观察  

Clinical efficacy of micro-punch combined with electron beam radiation for the treatment of keloids on the lower jaw:a retrospective analysis of 36 cases

作　　者：赵涛[1] 高美艳[1] 郭伟楠[1] 王刚[1] 李冰[1] Zhao Tao;Gao Meiyan;Guo Weinan;Wang Gang;Li Bing(Department of Dermatology,Xijing Hospital,The Fourth Military Medical University,Xi’an 710032,China)

机构地区：[1]第四军医大学西京皮肤医院,西安710032

出　　处：《中华皮肤科杂志》2021年第5期438-440,共3页Chinese Journal of Dermatology

摘　　要：目的探讨微型环钻切除术联合电子线在下颌瘢痕疙瘩中的疗效。方法回顾性分析2017年9月至2019年3月于第四军医大学西京皮肤医院进行微型环钻切除术联合电子线治疗的下颌瘢痕疙瘩患者36例,男16例、女20例,平均年龄23.80岁,中位病程32个月。分别于术前和术后12个月评估瘢痕疙瘩严重程度评分,采用配对t检验比较治疗前后瘢痕疙瘩评分。结果36例患者伤口均为一期愈合,术前瘢痕疙瘩严重程度评分(7.11±1.46)分,术后12个月为(2.33±0.47)分,治疗前后比较,t=13.85,P=0.008。治疗后12个月,治愈15例,显效17例,无效4例,治疗有效率为88.89%。结论微型环钻切除术联合电子线可有效治疗下颌瘢痕疙瘩。Objective To assess clinical efficacy of micro-punch combined with electron beam radiation for the treatment of keloids on the lower jaw.Methods Clinical data were collected from 36 patients with keloids on the lower jaw,who received micro-punch combined with electron beam radiation at Department of Dermatology,Xijing Hospital,the Fourth Military Medical University from January 2018 to January 2019,and analyzed retrospectively.There were 16 males and 20 females,with an average age of 23.80 years and a median disease duration of 32 months.The severity of keloids was evaluated before and 12 months after operation.A paired t test was used to compare keloid severity scores before and after treatment.Results All of the 36 patients experienced primary wound healing.The keloid severity score was 7.11±1.46 before operation,and significantly decreased to 2.33±0.47 at 12 months after operation(t=13.85,P=0.008).Twelve months after the treatment,15 patients were cured,17 showed marked improvement,and 4 showed no response or experienced recurrence within 12 months after treatment,with a response rate of 88.89%.Conclusion Micro-punch combined with electron beam radiation is effective for the treatment of keloids on the lower jaw.

关 键 词：瘢痕疙瘩 微型环钻切除术 电子线放射 

分 类 号：R622[医药卫生—整形外科]