中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2014年
2期
103-105
,共3页
耳%瘢痕疙瘩%Fillet瓣%磁铁片加压%曲安奈德
耳%瘢痕疙瘩%Fillet瓣%磁鐵片加壓%麯安奈德
이%반흔흘탑%Fillet판%자철편가압%곡안내덕
Ear%Keloid%Fillet flap%Magnet pressure therapy%Triamcinolone acetonide
目的 评价采取Fillet瓣联合术后磁铁片加压或并行曲安奈德注射综合治疗耳廓部瘢痕疙瘩的临床效果.方法 87例(102侧)女性耳廓瘢痕疙瘩患者,病变位于耳垂者73侧,位于耳轮者29侧,采取Fillet瓣联合术后磁铁片加压或并行曲安奈德注射综合治疗.结果 术后患者切口Ⅰ期愈合80例(94侧),7例(8侧)出现皮瓣下血肿,皮瓣均成活;21例患者术后未进行加压及注射治疗,随访1年以上.术后压力治疗组及术后压力加注射治疗组疗效显著高于单纯手术组,差异有统计学意义;术后压力加注射治疗组疗效高于术后压力治疗组,但差异无统计学意义.结论 耳部瘢痕疙瘩采用Fillet瓣联合术后磁铁片加压或并行曲安奈德注射综合治疗,可取得满意效果.
目的 評價採取Fillet瓣聯閤術後磁鐵片加壓或併行麯安奈德註射綜閤治療耳廓部瘢痕疙瘩的臨床效果.方法 87例(102側)女性耳廓瘢痕疙瘩患者,病變位于耳垂者73側,位于耳輪者29側,採取Fillet瓣聯閤術後磁鐵片加壓或併行麯安奈德註射綜閤治療.結果 術後患者切口Ⅰ期愈閤80例(94側),7例(8側)齣現皮瓣下血腫,皮瓣均成活;21例患者術後未進行加壓及註射治療,隨訪1年以上.術後壓力治療組及術後壓力加註射治療組療效顯著高于單純手術組,差異有統計學意義;術後壓力加註射治療組療效高于術後壓力治療組,但差異無統計學意義.結論 耳部瘢痕疙瘩採用Fillet瓣聯閤術後磁鐵片加壓或併行麯安奈德註射綜閤治療,可取得滿意效果.
목적 평개채취Fillet판연합술후자철편가압혹병행곡안내덕주사종합치료이곽부반흔흘탑적림상효과.방법 87례(102측)녀성이곽반흔흘탑환자,병변위우이수자73측,위우이륜자29측,채취Fillet판연합술후자철편가압혹병행곡안내덕주사종합치료.결과 술후환자절구Ⅰ기유합80례(94측),7례(8측)출현피판하혈종,피판균성활;21례환자술후미진행가압급주사치료,수방1년이상.술후압력치료조급술후압력가주사치료조료효현저고우단순수술조,차이유통계학의의;술후압력가주사치료조료효고우술후압력치료조,단차이무통계학의의.결론 이부반흔흘탑채용Fillet판연합술후자철편가압혹병행곡안내덕주사종합치료,가취득만의효과.
Objective To investigate the effect of Fillet flap and postoperative pressure combined with magnet pieces and triamcinolone acetonide injection therapy for keloid in aural region.Methods From January 2009 to January 2011,87 patients (102 side ears) with keloid at the aural region were treated.Fillet flap repaired for keloid in aural region,pressure treating by magnet pieces began at 14 days after operation,and continued for more than one year.Triamcinolone acetonide injection therapy began 1 months after operation if keloid recurrence tendency.Results After operation,80 patients (94 lateral ears) healed by first intention.Hematoma under flap appeared in 7 patients (8lateral ears),and healed by changing dressings.And 87 cases (102 lateral ears) were followed up for 1 year.The effect of operation and pressure therapy group and operation,pressure and injection therapy group was significantly higher than operation group,with statistically significant differences.Effect of operation,pressure and injection therapy group was higher than that of operation and pressure therapy group,but there was no significant difference.Conclusions Fillet flap and postoperative pressure combined with magnet pieces and triamcinolone acetonide injection therapy can effectively treat aural region keloids.
