大耳瘢痕疙瘩手术切除的回顾性分析
A retrospective analysis of surgical resection of large ear keloids.
作者信息
Lyu Anqi, Xu Erwei, Wang Qiying
机构信息
The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
出版信息
Australas J Dermatol. 2019 Feb;60(1):29-32. doi: 10.1111/ajd.12872. Epub 2018 Jul 1.
OBJECTIVE
To investigate surgical methods for the removal of larger ear keloids.
METHODS
Two different surgical techniques were used: Method A, tumour excision followed by in situ scar flap repair; and Method B, wedge resection of an auricular lesion followed by primary closure or local flap repair. After the treatment, patients received postoperative, local radiotherapy. Follow-up was for 1-3 years (median 28.9 months).
RESULTS
Twenty patients with 35 large ear keloids were reviewed. In Method A, six ears were cured, three ears improved, five ears relapsed after 1 year and one ear recurred within 1 year. In Method B, 17 ears were cured, two ears improved and one ear recurred within 1 year.
CONCLUSION
Keloid scars can be effectively treated with a combination of radiotherapy and surgical excision.
目的
探讨切除较大耳部瘢痕疙瘩的手术方法。
方法
采用两种不同的手术技术：方法A，肿瘤切除后原位瘢痕皮瓣修复；方法B，耳廓病变楔形切除后一期缝合或局部皮瓣修复。治疗后，患者接受术后局部放疗。随访1 - 3年（中位随访时间28.9个月）。
结果
对20例患有35个较大耳部瘢痕疙瘩的患者进行了回顾性分析。在方法A中，6只耳朵治愈，3只耳朵改善，5只耳朵在1年后复发，1只耳朵在1年内复发。在方法B中，17只耳朵治愈，2只耳朵改善，1只耳朵在1年内复发。
结论
放疗与手术切除相结合可有效治疗瘢痕疙瘩。
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