刘文阁　李素娟　蔡玉琴

摘要目的:比较目前常规疗法的优缺点,探讨治疗瘢痕疙瘩的新方法。方法:采用两种方法治疗瘢痕疙瘩。方法1:采用特制的高液压瘢痕注射器向瘢痕内注射确炎舒松;②以手术为主。两组均为外涂去疤霜,并用透明敷料"安舒妥"密封的综合疗法。结果:20例患者的84块瘢痕用方法①,治愈率68%,总有效率98%;12例患者的32块瘢痕用方法②,治愈率37%,总有效率81%。统计学分析二者的差异有显著性。结论:方法①疗效虽优于方法②但各有特点,在瘢痕疙瘩的治疗上应权衡利弊,根据具体情况选择合适的综合治疗方法。

关键词瘢痕疙瘩确炎舒松

THE EFFECTIVE STUDY OF SYNTHESIS METHOD TREATING KELOID

Liu Wenge Li Sujuan Cai Yuqin

Beijing HuangSi Aesthetic Surgery Hospital,(Beijing100011)

AbstractObjective:In order to seek the new methods for treating keloid.Methods:We used two methods,method 1:Injected triamcinolone into keloid、besmear ointmen on keloid surface and covered with Opsite on outer, method 2:excise keloid before and after operation inject triamcinolone into cut.Result:The effective and curability rate of method 1 was 98% and 68%;that of method 2 was 81% and 37%.The difference of two methods was significantly.Conclusion:Because there was no effective methods to avoid recrudesce after operation,exision was the second selection to treat keloid

key words:KeloidTriamcinolone

瘢痕疙瘩的防治是美容整形外科的一大难题,单纯手术切除其复发率在80%以上,而放疗危险性大,操作复杂。单纯瘢痕外涂药膏容易挥发,而经衣物磨擦后又易玷污衣服且浪费药物,使药物根本无法真正被瘢痕组织吸收而发挥其应有的药理作用,我们采用药物注射、药膏外涂或手术切除等综合方法治疗瘢痕疙瘩,收到较理想的临床效果。

1临床资料ケ咀32例中瘢痕数目116块;男8例,女24例:病程11个月～12年;年龄:6岁～58岁,平均27岁;瘢痕面积:1cm.2～20cm.2

2瘢痕疙瘩的诊断标准⁽¹⁾

①皮肤损害超过原有损伤范围并向周围正常皮肤侵犯

②病程超过9个月而无自发消退征象。

③以前作过手术切除而又复发者シ卜合上述的任何一条或多条都可确诊

3瘢痕严重程度分类的积分标准⁽²⁾

色泽:赤红或鲜红伴毛细血管扩张计3分

淡红,按压后消失计2分。

不红,有些灰暗计1分。……