摘要
目的:探讨手术切除瘢痕疙瘩后采用电子线放射治疗的效果。方法:随访1998～2005年手术切除瘢痕疙瘩后接受电子线放射治疗的66例(共78处)患者,总照射剂量20Gy,随访时间均在18个月以上,对治疗结果进行统计学分析和评估。结果:疗效分析结果表明,总复发率为25.64%,病程长的瘢痕疙瘩、由感染所致瘢痕疙瘩及存在家族史的患者复发率偏高,分别为40.00%、46.15%和55.56%(与对照组比较P<0.05)。患者的年龄、性别、病灶大小及解剖位置分布与复发率高低无直接关系。结论:术后电子线放射治疗对于防治瘢痕疙瘩的复发效果较好,是一种治疗瘢痕疙瘩安全、有效的方法。
Objective To explore the effectiveness of postoperative electron beam irradiation therapy for keloid. Methods Sixty-six patients with 78 keloid sites were treated by surgical removal and postoperative 20Gy electron beam irradiation from 1998 to 2005 and followed for over eighteen months,Statistical analysis was performed and therapeutic outcome was evaluated. Results The overall recurrence rate was 25.64%. Higher post-treatment recurrence rates were noted with keloid forming at infected sites and in patients with family history or long course of keloid （46.1%and 55,56% ,40.00%）（P〈0.05）, Meanwhile,patient＇s age,sex,keloid size and location had no increased likehood of recurrence rate, Conclusion The study shows that postoperative electron beam irradiation therapy is a kind of safe and effective method in inhibiting recurrence of keloid formation and eradicating it.
出处
《中国美容医学》
CAS
2007年第7期944-947,共4页
Chinese Journal of Aesthetic Medicine
关键词
瘢痕疙瘩
放射治疗
电子线照射
keloid
radiation therapy
electron beam irradiation
