环钻术联合黑布药膏治疗瘢痕疙瘩的临床疗效  

Investigation on therapeutic efficacy of combined tunneling technique with black cloth plaster in treatment of keloid scars

作　　者：谷丽晓 陈志伟 黄怡凡 GU Li-xiao;CHEN Zhi-wei;HUANG Yi-fan(Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou(310000),China)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310000 [2]温州市中西医结合医院皮肤科,温州325000 [3]浙江省杭州市富阳区第二人民医院,杭州310000

出　　处：《中国中西医结合外科杂志》2024年第3期396-400,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探究环钻术联合黑布药膏治疗瘢痕疙瘩的临床疗效。方法:选取2022年1月—2023年12月本院收治的60例瘢痕疙瘩患者,根据治疗手段的不同分为治疗组和对照组,每组30例。对照组给予环钻术治疗,治疗组给予环钻术后外敷黑布膏药治疗。观察比较两组患者温哥华瘢痕评定量表(VSS)评分及临床疗效。结果:治疗组患者治疗总有效率为93.3%,高于对照组的63.3%,差异有统计学意义(P<0.05)。术前两组患者瘢痕疙瘩VSS积分比较,差异无统计学意义;治疗组术后1、2、3个月瘢痕疙瘩VSS评分分别为(3.03±1.20)分、(4.03±2.12)分及(5.13±2.78)分,均低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后不良事件发生率为3.33%,对照组为0,差异无统计学意义(P>0.05)。治疗组患者治疗后3个月、6个月瘢痕疙瘩复发率分别为6.7%和13.3%,均显著低于对照组的36.7%和46.7%,差异有统计学意义(P<0.05)。结论:环钻术加外敷黑布膏药可有效改善瘢痕疙瘩患者的瘢痕状态,治疗效果显著,安全性好,且预后良好,值得在临床应用推广。Objective To explore the effect of combined treatment of trephination and black cloth plaster.Methods Sixty patients with scar tissue admitted to our hospital from January 2022 to December 2023 were selected and divided into a treatment group and a control group based on different treatment methods,with 30 cases in each group.The treatment group was treated with external application of black cloth ointment after the intrauterine device placement,while the control group was treated with intrauterine device placement.Observe and compare the VSS scores and clinical efficacy between two groups of patients.Results The total effective rate of the treatment group was 93.3%,which was higher than the control group's 63.3%,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the VSS scores of scar tissue between the two groups of patients before surgery(P>0.05);The VSS scores for scar tissue in the treatment group at 1,2,and 3 months after surgery were(3.03±1.20)points,(4.03±2.12)points,and(5.13±2.78)points,all of which were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events after treatment in the treatment group was 3.33%,higher than the control group's 0.the difference was not statistically significant(P>0.05).The recurrence rates of scar tissue in the treatment group at 3 and 6 months after treatment were 6.7%and 13.3%,respectively were lower than the control group's 36.7%and 46.7%,with statistical significance(P<0.05).Conclusion The combination of trephination and external application of black cloth ointment can effectively improve the scar status of patients with keloids,with significant therapeutic effects,good safety,and reduced recurrence rate.The prognosis is good.Worth promoting in clinical applications.

关 键 词：环钻术 黑布膏药 瘢痕疙瘩 

分 类 号：R275[医药卫生—中医皮科] R751.05[医药卫生—中医学]