CAJ | 학술논문

目的：总结注射醋酸曲安奈德控制瘢痕疙瘩生长后联合手术切除耳垂瘢痕疙瘩的临床经验。方法采用耳垂瘢痕疙瘩局部注射醋酸曲安奈德治疗3~4次后,手术切除耳垂瘢痕疙瘩,术中保留部分瘢痕疙瘩边缘皮肤并行无张力缝合,术后观察6~24个月。结果本组31只耳手术切口全部一期愈合,随访6~24个月,26只耳治愈,4只耳有效,1只耳无效,有效治愈率约96.8%。结论醋酸曲安奈德局部注射后手术切除能有效治疗耳部瘢痕疙瘩。
목적：총결주사작산곡안내덕공제반흔흘탑생장후연합수술절제이수반흔흘탑적림상경험。방법채용이수반흔흘탑국부주사작산곡안내덕치료3~4차후,수술절제이수반흔흘탑,술중보류부분반흔흘탑변연피부병행무장력봉합,술후관찰6~24개월。결과본조31지이수술절구전부일기유합,수방6~24개월,26지이치유,4지이유효,1지이무효,유효치유솔약96.8%。결론작산곡안내덕국부주사후수술절제능유효치료이부반흔흘탑。
Objective To summarize the clinical experience about therapy for ear keloid by local injection of triamcinolone acetonide acetate combined with surgical resection to control the growth of keloid. Methods After 3~4 times injecting the triamcinolone acetonide ac-etate,the keloid was removed by surgery,some edge of keloid skin was kept and sutured without tension. Results The patients were followed up for 6~24 months,all of 31 ears were primary healing, 26 ears were cured, 4 ears were effective,only one ear was invalid,the effective cure rate was about 96. 8%. Conclusion Local injection with triamcinolone acetonide acetate combined with surgical resection can treat ear keloid.