摘要
目的探讨手术、放疗结合弹力加压的"三联疗法"治疗瘢痕疙瘩的效果。方法分层抽样法选取2017年9月—2018年9月海南医学院第一附属医院68例瘢痕疙瘩患者。摸球法分为两组,各34例。对照组给予手术联合糖皮质激素,研究组给予手术、放疗结合弹力加压"三联疗法"。比较两组疗效。结果随访12个月,研究组VSS评分低于对照组(P<0.05);研究组总有效率为97.06%,高于对照组76.47%(P<0.05);研究组不良反应发生率为2.94%,对照组则为5.88%(P>0.05);研究组复发率低于对照组(P<0.05)。结论瘢痕疙瘩采用手术、放疗结合弹力加压"三联疗法"治疗可促进瘢痕恢复,增强疗效,降低复发率,且不良反应少。
Objective To observe the effect of"triple therapy"which is surgery,radiotherapy with elastic compression on keloid.Methods The stratified sampling method selected 68 patients with keloid in the First Affiliated Hospital of Hainan Medical College from September 2017 to September 2018.There were two groups each with 34 cases.The control group was given operation combined with glucocorticoid,and the research group was given operation,radiotherapy combined with elastic compression"triple therapy".The two groups were compared.Results VSS score in the study group was lower than that in the control group(P<0.05);The total effective rate in the study group was 97.06%,higher than that in the control group(P<0.05);The incidence of adverse reactions was 2.94%in the study group and 5.88%in the control group(P>0.05);The recurrence rate in the study group was lower than that in the control group(P<0.05).Conclusion The treatment of keloid by operation,radiotherapy combined with elastic pressure"triple therapy"can promote the recovery of scar,enhance the curative effect,reduce the recurrence rate,and less adverse reactions.
作者
李晶晶
LI Jingjing(The First Affiliated Hospital of Hainan Medical College,Haikou 570102,China)
出处
《中国全科医学》
CAS
北大核心
2020年第S01期105-107,共3页
Chinese General Practice
关键词
瘢痕疙瘩
手术
放疗
弹力加压
三联疗法
Keloid
Surgery
Radiation therapy
Elastic pressure
Triple therapy
