CAJ | 학술논문

目的：研究手术切除与术后压力治疗耳部瘢痕疙瘩的临床效果。方法回顾性分析本院2011年2月~2013年11月收治的耳部瘢痕疙瘩患者98例的临床资料，将患者随机分为观察组和对照组，每组49例。对照组采用常规手术治疗，观察组患者给予手术切除与术后压力治疗，比较两组的治疗效果。结果观察组的总有效率为93.9%，其中术后患者Ⅰ期痊愈33例(67.3豫)，延迟愈合13例(26.5豫)，无效3例(6.1豫)，对照组的总有效率为79.6豫，其中术后Ⅰ期痊愈27例(55.1豫)，延迟愈合12例(24.5豫)，无效10例(20.4豫)，两组的临床效果比较，差异有统计学意义(P<0.01)。观察组术后1例(2.0%)复发，对照组术后9例(18.4%)复发，两组的复发率比较，差异有统计学意义(P<0.01)；观察组术后感染1例(2.0%)，对照组术后感染2例(4.1%)，两组的并发症发生率比较，差异无统计学意义(P>0.05)。结论手术切除与术后压力治疗耳部瘢痕疙瘩的临床效果显著，术后复发率较低，术后感染率低，不良反应少，值得临床推广应用。
목적：연구수술절제여술후압력치료이부반흔흘탑적림상효과。방법회고성분석본원2011년2월~2013년11월수치적이부반흔흘탑환자98례적림상자료，장환자수궤분위관찰조화대조조，매조49례。대조조채용상규수술치료，관찰조환자급여수술절제여술후압력치료，비교량조적치료효과。결과관찰조적총유효솔위93.9%，기중술후환자Ⅰ기전유33례(67.3예)，연지유합13례(26.5예)，무효3례(6.1예)，대조조적총유효솔위79.6예，기중술후Ⅰ기전유27례(55.1예)，연지유합12례(24.5예)，무효10례(20.4예)，량조적림상효과비교，차이유통계학의의(P<0.01)。관찰조술후1례(2.0%)복발，대조조술후9례(18.4%)복발，량조적복발솔비교，차이유통계학의의(P<0.01)；관찰조술후감염1례(2.0%)，대조조술후감염2례(4.1%)，량조적병발증발생솔비교，차이무통계학의의(P>0.05)。결론수술절제여술후압력치료이부반흔흘탑적림상효과현저，술후복발솔교저，술후감염솔저，불량반응소，치득림상추엄응용。
Objective To study effect of surgical resection and postoperative pressure treating ear keloid. Methods Clinical data of 98 patients with ear keloid treated in our hospital from February 2011 to November 2013 were retro-spectively analyzed,and patients were randomly divided into observation group (n=49) and control group (n=49).Control group was given conventional surgery,while observation group was treated with surgical resection and postoperative pressure,the treatment effect of between two groups was compared. Results The total effective rate of observation group was 93.9%,among them,33 cases (67.3%) were cured in stage Ⅰ,13 cases (26.5%) late healed,3 cases (6.1%) were in-valid after operation,while the effective rate of observation group was 79.6%,among them,27 cases (55.1%) were cured in stageⅠ,12 cases (24.5%) late healed,10 cases (20.4%) were invalid after operation,and there was a statistical differ-ence of clinical effect of two groups (P<0.01).There was 1 case (2.0%) with recurrence in observation group,9 cases (18.4%) with recurrence in control group,and there was a statistical difference of recurrence rate between two groups (P<0.01).There was 1 case (2.0%) with infection in observation group after operation,2 cases (4.1%) with infection in control group after operation,and there was no statistical difference of incidence rate of complication between two groups (P>0.05). Conclusion The clinical effect of surgical resection and postoperative pressure treating ear keloid is significant with lower recurrence rate and low infection rate after operation,and few adverse reaction.It.