Ernst K, Hundeiker M
Fachklinik Hornheide für Tumoren, Westfälische Wilhelms-Universität, Münster.
Hautarzt. 1995 Jul;46(7):462-6. doi: 10.1007/s001050050282.
Cryosurgery with liquid nitrogen led to total or partial success in 64% of 336 patients with keloids and in 82% of 58 persons with hypertrophic scars. In 11% and 3% of the patients, respectively, the results were disappointing. In 19% and 12%, patients broke off the painful and long-term therapy. Nonetheless, in view of the results of other therapeutic methods, we prefer cryosurgery (either as monotherapy or combined with corticoids or conventional surgery) for keloids. For hypertrophic scars, however, the therapy is restricted to exceptional cases since nearly all lesions regress spontaneously within a few years.
液氮冷冻手术使336例瘢痕疙瘩患者中的64%以及58例增生性瘢痕患者中的82%获得了完全或部分成功。分别有11%和3%的患者治疗效果令人失望。分别有19%和12%的患者中断了痛苦且疗程漫长的治疗。尽管如此,鉴于其他治疗方法的结果,对于瘢痕疙瘩,我们更倾向于采用冷冻手术(无论是作为单一疗法还是与皮质类固醇或传统手术联合使用)。然而,对于增生性瘢痕,这种治疗仅限于特殊情况,因为几乎所有病变在几年内都会自行消退。