Pierce H E
J Natl Med Assoc. 1979 Dec;71(12):1177-80.
The treatment of keloids continues to be an enigma to the surgeon and the patient as well. There is to date no absolute single method that assures success. Generally speaking, we must use all the tools in our armamentarium, including radiation, intra-keloid steroids, surgery and postoperative constant wound pressure in an effort to remold the newly forming collagen. While these do not guarantee satisfactory results, they are the best we have to date and adequately justify our attempts to help patients with this problem. Of great importance is the necessity for the patient to be fully informed of the need for protracted follow-up without guarantees regarding the final outcome.
瘢痕疙瘩的治疗对外科医生和患者来说仍然是个谜。迄今为止，尚无绝对能确保成功的单一方法。一般来说，我们必须运用我们所拥有的所有手段，包括放疗、瘢痕疙瘩内注射类固醇、手术以及术后持续的伤口加压，以重塑新形成的胶原蛋白。虽然这些方法不能保证取得令人满意的效果，但它们是我们目前所拥有的最佳方法，也充分证明了我们帮助患者解决这一问题的努力是合理的。非常重要的是，必须让患者充分了解需要进行长期随访，而且无法保证最终结果。
