组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (5): 467-.

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瘢痕疙瘩术后浅层X线放疗的不良反应及相关危险因素分析

  

  • 出版日期:2025-10-13 发布日期:2025-10-30

Analysis of adverse reactions and related risk factors of superficial X-ray radiotherapy after keloid surgery

  • Online:2025-10-13 Published:2025-10-30

摘要:

目的 总结瘢痕疙瘩术后浅层X线放射治疗的不良反应,并分析常见不良反应的相关风险因素。方法 回顾性分析 2019年 11月至 2020年 10月瘢痕疙瘩术后浅层 X线放疗患者,收集患者一般资料,通过术后 1、6个月的随诊记录,对局部不良反应进行评估,统计不良反应的发生率,分析常见不良反应发生的相关风险因素。结果 共收集瘢痕疙瘩术后浅层 X 线放射治疗患者 76 例,瘢痕疙瘩 96 个。最常见的不良反应为色素沉着(80.2%),其次是毛细血管扩张(16.7%)。瘢痕疙瘩的部位是色素沉着发生率及严重程度的风险因素,毛细血管扩张与各因素无明显相关性。结论色素沉着是瘢痕疙瘩术后浅层X线放疗最常见不良反应,其发生率及严重程度可以通过部位进行评估,与患者充分沟
通,可以增加治疗满意度。

关键词:

Abstract:

Objective To observe and analyze the adverse reactions and related risk factors of superficial X-ray radiotherapy after keloid surgery. Methods A retrospective analysis was conducted on patients who received superficial Xray radiotherapy after keloid surgery from November 2019 to October 2020. General information of the patients was collected. Through the follow-up records at 1 and 6 months after the surgery, local adverse reactions were evaluated, the incidence of adverse reactions was statistically analyzed, and the risk factors related to the incidence of common adverse reactions were analyzed. Results A total of 76 patients were collected, including 96 keloids. The most common adverse reaction was pigmentation (80.2%), followed by telangiectasia (16.7%). The location of keloids is a risk factor for the incidence and severity of pigmentation, while telangiectasia has no significant correlation with various factors. Conclusion Pigmentation is the most common adverse reaction associated with superficial X-ray radiotherapy after keloid surgery, and its incidence and severity may vary depending on the treatment location. Adequate communication with patients can significantly improve treatment satisfaction.

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