组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2013, Vol. 9 ›› Issue (5): 268-270.doi: 10.3969/j.issn.1673-0364.2013.05.007

• 论著 • 上一篇    下一篇

耳廓瘢痕疙瘩综合治疗的临床观察

张伟，张惠丰，郑建云，雷惠斌，王芳，陈莹   

  1. 西安医学院附属医院
  • 发布日期:2020-07-23

Clinical Observation of Multi-modalities Therapy in Auricular Keloid

ZHANG Wei,ZHANG Huifeng,ZHENG Jianyun,LEI Huibin,WANG Fang,CHEN Ying   

  1. The Affiliated Hospital of Xi’an Medical University
  • Published:2020-07-23
  • Contact: 西安医学院附属医院科研项目（xyfy 10-16）

摘要： 目的评价手术联合曲安奈德局部注射治疗耳廓瘢痕疙瘩的临床效果。方法对12例(20侧)患者采用部分或全部切除耳廓瘢痕,皮瓣恢复耳廓正常外形。术后10 d切口及残余瘢痕内注射曲安奈德注射液,曲安奈德10~20 mg以2%利多卡因稀释1倍后注射,每2周1次,视瘢痕消退情况逐渐撤药。结果随访6~36个月,治愈8例,显效4例,有效率100%,疗效满意。结论手术联合曲安奈德局部注射是治疗耳廓瘢痕疙瘩的有效方法。

关键词: 瘢痕疙瘩, 手术切除, 曲安奈德

Abstract: Objective To evaluate the clinical effects of surgery combining with early local injection of triamcinolone acetonide in the treatment of auricle keloid. Methods Twelve patients (20 auricles) with keloid were treated by surgery. The keloids were partly or completely excised and corrected with local skin flap. Triamcinolone acetonide 10~20 mg diluted with 2% lidocaine was injected into the incision or scar tissue once 2 weeks 10 days after operation. Administration of this drug was gradually tapered according to the reduction of the scar. Results All the patients were followed up for 6 months to 3 years. Eight cases were cured without relapse, 4 cases showed partial remission. The rate of therapeutic effect was 100%. Conclusion Surgery combining with early injection of triamcinolone acetonide was an improved therapeutic method in the treatment of auricle keloid.

Key words: Keloid, Surgical resection, Triamcinolone acetonid

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