CAJ | 학술논문

目的：观察瘢痕疙瘩手术切除后早期联合90Sr/90Y敷贴治疗与单用90Sr/90Y敷贴治疗的疗效比较。方法：56例瘢痕疙瘩患者行手术切除后早期联合90Sr/90Y敷贴治疗（A组），60例瘢痕疙瘩患者行单纯90Sr/90Y敷贴治疗（B组），治疗结束后所有患者随访观察1年，比较其临床疗效。结果：A组56例患者均治疗有效，总有效率为100%，其中痊愈47例，总治愈率为83.9%；B组60例患者均治疗有效，总有效率为100%，其中痊愈50例，总治愈率为83.3%。两组总有效率、治愈率比较差异均无统计学意义（P>0.05）。A组治疗疗程较B组短，不良反应较B组少，差异均有统计学意义（P<0.05）。结论：手术切除早期联合90Sr/90Y敷贴治疗瘢痕疙瘩疗程短、安全、不良反应较少、临床效果令人满意。
목적：관찰반흔흘탑수술절제후조기연합90Sr/90Y부첩치료여단용90Sr/90Y부첩치료적료효비교。방법：56례반흔흘탑환자행수술절제후조기연합90Sr/90Y부첩치료（A조），60례반흔흘탑환자행단순90Sr/90Y부첩치료（B조），치료결속후소유환자수방관찰1년，비교기림상료효。결과：A조56례환자균치료유효，총유효솔위100%，기중전유47례，총치유솔위83.9%；B조60례환자균치료유효，총유효솔위100%，기중전유50례，총치유솔위83.3%。량조총유효솔、치유솔비교차이균무통계학의의（P>0.05）。A조치료료정교B조단，불량반응교B조소，차이균유통계학의의（P<0.05）。결론：수술절제조기연합90Sr/90Y부첩치료반흔흘탑료정단、안전、불량반응교소、림상효과령인만의。
Objective:To observe the effect of postoperative joint 90Sr/90Y radiotherapy in keloid.Method:90Sr/90Y contact therapy was given to 56 cases after surgery(group A). 90Sr/90Y radiotherapy was given to 60 cases(group B). All patients were followed up for 1year after combined therapy,and the clinical effects of the two groups were compared. Result:47 cases in the group A were cured,the total cure rate was 83.9%,total effective rate was 100%. 50 cases in the group B were cured,the total cure rate was 83.3%,total effective rate was 100%. The total effective rate,cure rate of the two groups were compared,the differences had no statistical significance(P>0.05). The period of treatment in the group A was shorter than that of the group B,the adverse reaction was less than that of the group B,the differences had statistical significance(P<0.05).Conclusion:Early operation resection combined with 90Sr/90Y application in the treatment of keloid has a short course of treatment,less adverse reaction,safe,satisfactory clinical effect.