CAJ | 학술논문

目的：报告1例短波紫外线联合低能量激光照射对结肠癌术后伤口和窦道的疗效。方法患者男性，48岁，确诊为乙状结肠溃疡型中分化腺癌，行腹腔镜乙状结肠癌根治术3周后，手术切口末端出现深度约3 cm的窦道，多次清创处理仍难以愈合，转入我科光磁疗治疗室治疗。碘伏酒精对伤口窦道进行清创后，使用波段660 nm、波形为直流波、总功率360 Hw的低能量激光照射伤口和窦道；再用短波紫外线分区照射窦道内部和体表伤口以及红肿部位，1次/d，共7 d。结果连续7 d治疗，窦道快速愈合，溃疡部位全部结痂愈合，红肿面积明显减少。结论短波紫外线配合低能量体激光照射能够快速有效地促进结肠癌术后伤口和窦道的愈合。
목적：보고1례단파자외선연합저능량격광조사대결장암술후상구화두도적료효。방법환자남성，48세，학진위을상결장궤양형중분화선암，행복강경을상결장암근치술3주후，수술절구말단출현심도약3 cm적두도，다차청창처리잉난이유합，전입아과광자료치료실치료。전복주정대상구두도진행청창후，사용파단660 nm、파형위직류파、총공솔360 Hw적저능량격광조사상구화두도；재용단파자외선분구조사두도내부화체표상구이급홍종부위，1차/d，공7 d。결과련속7 d치료，두도쾌속유합，궤양부위전부결가유합，홍종면적명현감소。결론단파자외선배합저능량체격광조사능구쾌속유효지촉진결장암술후상구화두도적유합。
Objective To observe the effect of ultraviolet C combined with low-level laser therapy in promoting rapid healing of infected wounds and sinus after colon-cancer surgery.Methods The patient was a 48-year-old male with sigmoid colon ulcer type differentiated adenocarcinoma. A sinus about 3 cm was found at the end part of operation incision after 3 weeks of laparoscopic radical resection of sigmoid colon cancer. Debridement treatment was repeated many times, but the sinus was still difficult to heal. Then the patient was transferred to our department. Ultraviolet C combined with laser radiation therapy was chosen. Firstly, iodophor alcohol was used to clean the wound and sinus. Secondly, low-level laser radiated the wound and sinus with the band of 660nm, the waveform of DC wave and the total power of 360 HW. Thirdly, the ultraviolet C irradiated the inside part of the sinus, the wound surface and inflamed parts for once a day, a total of seven days.Results After seven days of light treatment, the sinus healed rapidly, the ulcer site were all cured with scabs, and the red swelling area reduced significantly.Conclusion Ultraviolet C combined with low-level laser therapy can effectively promote healing of wounds and sinus after colon-cancer surgery.