引用本文:孙秀锋 1,黎洪伟 2,郑妍丽 1,姜 涛 1,王洪燕 1.手术切除联合电子线放射治疗耳垂瘢痕疙瘩疗效分析[J].大连医科大学学报,2012,34(4):378-380.
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手术切除联合电子线放射治疗耳垂瘢痕疙瘩疗效分析
孙秀锋 1,黎洪伟 2,郑妍丽 1,姜 涛 1,王洪燕 1
大连医科大学 附属第二医院,1.整形外科,2.放疗科,辽宁 大连 116027
摘要:
[目的] 探讨耳垂瘢痕疙瘩的有效治疗方法。 [方法] 对33例耳垂瘢痕疙瘩患者采用手术切除瘢痕,整形美容方法缝合切口,并联合术后24 h内电子线放射方法治疗,采用4 MeV电子束照射,每疗程照射9次,总剂量12 Gy。观察疗效。 [结果] 随访12个月,治愈21例,有效9例,总有效率为90.9%,未发生放射治疗引起的全身不良反应及伤口感染等并发症。 [结论] 手术切除联合电子线放射能够有效治疗耳垂瘢痕疙瘩。
关键词:  瘢痕疙瘩  电子线  放射治疗  手术
DOI:10.11724/jdmu.2012.04.17
分类号:
基金项目:
Clinical analysis of auricular lobule keloids treated with resection and electron beam radiotherapy
SUN Xiu-feng 1, LI Hong-wei 2, ZHENG Yan-li 1, JIANG Tao 1, WANG Hong-yan 1
1.Department of Plastic Surgery, 2.Department of Radiotherapy, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China
Abstract:
[Objective] To study the methods of treating auricular lobule keloids. [Methods] Auricular lobule keloids of 33 cases were treated with resection, the cut were sutured with plastic cosmetology methods, and 4 MeV electron beam were applied to irradiate the operating field within 24 hours after operation. Each course of radiotherapy treatment was 9 times. Total doses were 12 Gy. The therapeutic effects were observed. [Results] All cases were followed up for at least 12 months, 21 cases were healed well, 9 cases were valid. The total effective rate was 90.9%. The adverse reaction of body and wound infection were not occurred. [Conclusion] Auricular lobule keloid can be effectively treated with resection and electron beam radiotherapy.
Key words:  keloid  electron beam  radiotherapy  resection