摘要
目的:探讨四肢外伤后皮肤瘢痕的治疗方法。方法:收集2006年-2010年到本院诊治的22例四肢外伤后皮肤局部瘢痕明显增生隆起的患者。全部病例行瘢痕切除后或行切缘皮下松解后拉拢缝合,或行取植皮术覆盖,均细针细线缝合,术后行放射治疗。结果:22例患者治疗后随访2年,15例切口愈合后未再出现明显瘢痕增生隆起,5例切口出现I级或Ⅱ级瘢痕生长,2例再出现切口明显瘢痕增生隆起呈硬条索状(无效,占9.1%),总有效率达90.9%。结论:外伤后四肢皮肤瘢痕的治疗选择手术切除辅以放疗治疗,总体疗效满意,值得临床推广应用。
Objective To evaluate the treatment outcomes of the post-traumatic keloid of limbs.Methods We collect 22 cases post-traumatic keloid of limbs in our hospital between 2006-2010. All22 cases of kaloid were resected completely,or having suture line after the cut edge of subcutaneous release a line or skin grafting to cover,both fine needle thread stitching,followed by radiotherapy in 24 hours. Results 22 patients were followed up for 2 years after the treatment,15 cases were cured and the were not any recurrence of the keloid,5 cases were partial remission and there were scar of grade 1 or 2 in the incision.2 cases of keloid were recurrence and there were obvious scar in the incision（Invalid,accounting for 9.1%）.All remission rate is 90.9%. Conclusion The treatment of completely resection,followed by radiotherapy is useful and worthing of clinical application.
出处
《中国美容医学》
CAS
2015年第3期9-11,共3页
Chinese Journal of Aesthetic Medicine
关键词
瘢痕切除术
植皮术
放射治疗
scar resection
take skin grafting
radiation therapy
