Norris J E
Department of Surgery, St. Luke's/Roosevelt Hospital Center, New York, N.Y.
Plast Reconstr Surg. 1991 Jan;87(1):44-9; discussion 50-3.
The efficacy of carbon dioxide laser excision as a primary modality for the treatment of keloids was evaluated. This retrospective study focuses on 31 patients with one or more keloids, 23 of whom were available for follow-up after carbon dioxide laser excision. The patients' ages ranged from 5 to 72 years. There were 16 females and 7 males. One patient was Caucasian, 22 patients were non-Caucasian, and there were no Asians. The keloids that were excised ranged in size from 1 to 30 cm in greatest diameter. One patient had no recurrence of her keloid after carbon dioxide laser excision, 9 patients required steroids to suppress recurrences, and 13 patients were considered failures. Reasons for the failure of this modality, as well as speculation regarding the future of this procedure, are discussed.
评估了二氧化碳激光切除作为瘢痕疙瘩主要治疗方式的疗效。这项回顾性研究聚焦于31例有一个或多个瘢痕疙瘩的患者，其中23例在二氧化碳激光切除后可供随访。患者年龄范围为5至72岁。有16名女性和7名男性。1例为白种人，22例为非白种人，且无亚洲人。切除的瘢痕疙瘩最大直径范围为1至30厘米。1例患者在二氧化碳激光切除后瘢痕疙瘩未复发，9例患者需要使用类固醇来抑制复发，13例患者被视为治疗失败。讨论了这种治疗方式失败的原因以及对该手术未来的推测。
