手术切除联合冷冻治疗和局部注射类固醇治疗耳垂瘢痕疙瘩：1 年随访。
Combined treatment of earlobe keloids with shaving, cryosurgery, and intralesional steroid injection: a 1-year follow-up.
机构信息
Department of Dermatology, University of São Paulo, São Paulo, Brazil.
出版信息
Dermatol Surg. 2013 May;39(5):734-8. doi: 10.1111/dsu.12107. Epub 2013 Feb 4.
BACKGROUND
Earlobe keloids are benign, fibrous proliferations that occur in predisposed persons at sites of cutaneous injury. No single best therapeutic modality is indicated.
OBJECTIVE
To describe a 1-year follow-up of 12 patients with earlobe keloids treated by shaving followed by cryosurgery and intralesional injection of triamcinolone.
MATERIALS AND METHODS
Twelve patients were treated with combined surgery and cryosurgery.
RESULTS
After 1 year, major response was observed in nine cases (75%) and moderate response in two cases (16%); one case had a relapse 5 months after the surgery.
CONCLUSION
These results are highly encouraging because all patients showed improvement. Shaving associated with cryosurgery seems to be a useful treatment for large keloids scars.
背景
耳垂瘢痕疙瘩是一种良性纤维增生，易发生于有皮肤损伤的易感人群。目前还没有一种单一的最佳治疗方法。
目的
描述 12 例耳垂瘢痕疙瘩患者经 shave 联合 cryosurgery 及曲安奈德皮损内注射治疗 1 年的随访结果。
材料和方法
12 例患者接受了联合手术和 cryosurgery 治疗。
结果
1 年后，9 例（75%）患者获得主要缓解，2 例（16%）患者获得中度缓解；1 例患者在手术后 5 个月复发。
结论
这些结果非常令人鼓舞，因为所有患者均有改善。Shave 联合 cryosurgery 似乎是治疗大的瘢痕疙瘩的有效方法。
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