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瘢痕疙瘩的手术及镭疗法

[Surgery and curietherapy of keloids].

作者信息

Peiffert D, Chassagne J F, Pernot M, Hoffstetter S, Dinh-Doan G, Benyacoub N, Abs R, Stricker M

机构信息

Service de Curiethérapie, Centre Régional de Lutte contre le Cancer (Alexis Vautrin), Vandoeuvre-les-Nancy.

出版信息

Rev Stomatol Chir Maxillofac. 1995;96(2):108-12.

PMID:7732320
Abstract

Postoperative irradiation of keloids allows a decrease of the recurrence rate by about 50%, compared to surgery alone. A review of the literature illustrates the benefits due to the irradiation, and describes the techniques available. The Iridium 192 interstitial brachytherapy, with per-operative implantation of the plastic tubes and immediate irradiation of 20 Gy at 5 mm depth, is detailed as used by French teams. The analysis of the published results allows to recommend this technique which is tailored to each clinical situation, safe, and easy to perform by the surgeon.

摘要

与单纯手术相比,瘢痕疙瘩术后放疗可使复发率降低约50%。文献综述阐述了放疗的益处,并介绍了可用技术。详细介绍了法国团队使用的铱192组织间近距离放疗,即在手术中植入塑料管,并在5毫米深度立即给予20 Gy的照射。对已发表结果的分析表明,该技术适用于各种临床情况,安全且易于外科医生操作,值得推荐。

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