小针刀联合火针治疗瘢痕疙瘩1例  

Keloid Treated by Small Needle-Knife Combined with Fire Needle:A Case Report

作　　者：李林昌 张广中[1] 仪凡 陈维文[1] LI Linchang;ZHANG Guangzhong;YI Fan;CHEN Weiwen(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji′nan 250011,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]山东中医药大学附属医院,山东济南250011

出　　处：《中国皮肤性病学杂志》2024年第8期892-895,共4页The Chinese Journal of Dermatovenereology

摘　　要：患者女,22岁,前胸瘢痕6年余,半年前曾行手术切除,术后复发。患处瘢痕瘙痒伴疼痛,瘢痕色鲜红,质韧,大小约69.0 mm×18.0 mm×4.0 mm,温哥华瘢痕评分10分。西医诊断:瘢痕疙瘩。中医诊断:蟹足肿,痰瘀互结证。采用小针刀联合火针中医特色外治,治以行气化痰,活血祛瘀,经连续10次治疗后效果明显,瘢痕大小60.0 mm×15.0 mm×1.0 mm,温哥华瘢痕评分4分。随访6个月,患者瘢痕未再复发,无不良反应。A 22-year-old female had keloid on her chest for more than 6 years,which had been surgically removed six months ago and recurred after surgery.The scar was itchy and painful,bright red,tough,about 69.0 mm×18.0 mm×4.0 mm in size.Vancouver scar scored 10.The scar was diagnosed as keloid by Western medicine,and the traditional Chinese medicine diagnosis is phlegm stasis interjunction syndrome.Small needle-knife combined with fire needle were used to promote qi and eliminate phlegm,promote blood circulation,and remove blood stasis.After 10 consecutive treatments,the scar size decreased to 60.0 mm×15.0 mm×1.0 mm.Vancouver scar score decreased to 4 points.After 6 months of follow-up,the patient had no recurrence of scar and no adverse reactions.

关 键 词：瘢痕疙瘩 中医外治 小针刀 火针 

分 类 号：R739.5[医药卫生—肿瘤]