组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (1): 101-.

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耳瘢痕疙瘩治疗方式的研究进展

  

  • 出版日期:2025-02-25 发布日期:2025-03-06

 Research progress for ear keloid treatment modalities

  • Online:2025-02-25 Published:2025-03-06

摘要:

耳部作为瘢痕疙瘩的好发部位之一,常继发于穿耳孔、外伤、烧伤等,临床表现为超过伤口边缘的持续性类肿瘤样纤维性增生。耳部瘢痕疙瘩不仅影响美观,且影响患者心理健康。其发病机制较为复杂,目前尚未完全明确,故临床治疗方法也不尽相同,治疗效果与复发率也存在较大差异。治疗方法包括放疗、激光、机械压迫、冷冻疗法、硅酮凝胶、局部注射药物等,但单一疗法复发率高并且疗效欠佳,目前主张多种治疗方法联合应用,可在一定程度上优化疗效并进一步降低复发率。

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Abstract:

As one of the most common areas of keloid, the ear is often secondary to ear piercing, trauma, burns, and clinically manifested as a persistent tumor-like fibrous hyperplasia beyond the edge of the wound. Ear keloid not only affects aesthetics, but also affects the psychological health of patients. Its pathogenesis is complex and has not yet been fully clarified, so the clinical treatment methods are also different, and the therapeutic effect and recurrence rate also differ greatly. Treatment methods include radiotherapy, laser, mechanical compression, cryotherapy, silicone gel, local injection of drugs, etc. However, the recurrence rate of single therapy is high and the efficacy is not good. At present, both domestic and foreign countries advocate the combined application of multiple therapeutic methods to optimize the efficacy of treatment to a certain extent and further reduce the recurrence rate.

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