摘要
Abstract
s: Objective To summarize the effectiveness of surgical removal combined with different therapy (superifcial X-ray, subcutaneous injection of betamethason around incision, constant pressure offered by elastic clips) on the auricular keloids. Methods Totally 150 patients of auricular keloids including 124 females and 26 males aged from 6 to 51 years old were selected, which are devided into the radiotherapy group(Group A), and injection-therapy group(Group B), and pressure-therapy group(Group C), with 50 cases in each. Operation: according to the certain characteristics of auricular keloids, choose the proper operation methods, such as the whole scar excision and direct suture or local skin lfap to repair, keloid-core resection with scar lfap reconstruction, in order to restore the appearance of auricle. Different postoperative treatment were applied among groups. Group A were followed by superifcial X-ray radiotherapy, were given the ifrst dose of 200 CGy within 24h and the following 2 days with 200 CGy per day. Total radiation dose was 600 CGy. In Group B, before suture, betamethason was injected into both subcutaneous sides of the incision. In Group C,after the removal of stitches, elastic nose clip were applied noto the incision for 3 months. ResultsAll cases were showed normal appearance, without signs of infection. In Group A, 1 patients appeared delay wound healing, During 0.5-3 years follow-up, 4 cases relapse in radiotherapy group, 5 cases relapse in injection group, and 8 relapse in pressure group. All relapse cases recovered after using the silicone membrane sustainably or the secondary injection.Conclusion Combing surgical removal with postoperative radiotherapy, or betamethason injection or pressure offered by elastic nose clip has shown satisfying results. Certain methods could be conducted according to different situation.关键词
耳部瘢痕疙瘩/手术/治疗/放疗/得宝松/弹性鼻夹Key words
auricular keloid/operation/treatment/radiotherapy/betamethason/elastic nose clip分类
医药卫生
