摘要
目的 评价综合疗法对瘢痕疙瘩的治疗效果与患者满意度.方法 2002-2015年进行综合疗法的瘢痕疙瘩患者共523例,根据治疗方式分为A组（手术联合复方倍他米松注射液放射治疗组）、B组（手术联合复方倍他米松注射液瘢痕内注射组）和C组（复方倍他米松注射液瘢痕内注射联合放射治疗组）,评价3组的治疗效果与患者满意度.结果 3组总有效率分别为85.7％,84.0％和64.9％,其中A组有效率高于B组和C组,A组和C组间差异有统计学意义（P＜0.05）,A组和B组间差异无统计学意义（P＞0.05）.随访1年后3组均获得一期愈合,治疗后不良反应轻微并均发生在治疗后2个月以内,不良反应均未经特殊治疗而痊愈.3组满意度差异有统计学意义,A组高于B组和C组,A组和B组差异无统计学意义（P＞0.05）,B组和C组差异有统计学意义（P＜0.05）.结论 3种综合疗法效果明显,其中以手术联合放疗效果最佳.
Objective To evaluate comprehensive therapy in the treatment of keloid effect and the patients＆#39; satisfaction.Methods From 2002 to 2015,a total of 523 patients with comprehensive treatment,according to the treatment the patients were divided into group A （surgery combined radiotherapy group） and group B （operation with corticosteroid hormone therapy group）,group C （corticosteroids in combination with radiotherapy group）,and the therapeutic effect of patients with satisfaction was evaluate.Results Total effective rate of three groups of patients were 85.7%,84.0%,64.9%;the efficiency in group A was higher than that of group B and group C;there was statistically significant difference between group A and C （P〈0.05）,but there were no significant difference between the group A and group B （P〉0.05）.All the patients were follow up for one years and the adverse reaction in the three groups was slight and happened in the 2 month after cure.And the adverse reaction was all self-cure in the final follow up.Difference was statistically significant between three groups of patients＇s satisfaction,group B better than in group A and group C;there was no significant difference between group A and group B （P〉0.05）;the difference between group B and C group was statistically significant （P〈0.05）.Conclusions Three kinds of comprehensive therapy effect are obvious,among which surgical adjuvant radiotherapy effect is best,being worth to recommend for clinical use.
出处
《中华医学美学美容杂志》
2017年第5期328-331,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
综合疗法
瘢痕疙瘩
手术
放射治疗
复方倍他米松注射液
Comprehensive therapy
Keloid
Surgical treatment
Radiation therapy
Compound betamethasone injection
