CAJ | 학술논문

目的探讨光动力法联合复方倍他米松注射治疗增生性瘢痕的效果.方法 37例患者随机分成2组,治疗组19例,对照组18例.治疗组采用光动力法联合复方倍他米松注射治疗,对照组单纯采用复方倍他米松局部注射治疗,比较治疗前、后的效果及复发率.结果治疗组有效率为89.5％,对照组55.6％,2组比较差异有统计学意义(P =0.029);治疗组复发率5.9％,对照组40.0％,2组比较差异有统计学意义(P =0.047).结论光动力法联合复方倍他米松注射治疗增生性瘢痕效果明显,能减少激素使用的时间及不良反应,安全性高,值得临床推广.
목적 탐토광동역법연합복방배타미송주사치료증생성반흔적효과.방법 37례환자수궤분성2조,치료조19례,대조조18례.치료조채용광동역법연합복방배타미송주사치료,대조조단순채용복방배타미송국부주사치료,비교치료전、후적효과급복발솔.결과 치료조유효솔위89.5％,대조조55.6％,2조비교차이유통계학의의(P =0.029);치료조복발솔5.9％,대조조40.0％,2조비교차이유통계학의의(P =0.047).결론 광동역법연합복방배타미송주사치료증생성반흔효과명현,능감소격소사용적시간급불량반응,안전성고,치득림상추엄.
Objective To investigate the effect of photodynamic therapy combined with compound betamethasone in the treatment of hypertrophic scar.Methods 37 cases of keloid were divided into two groups,19 cases in the treatment group,18 cases in the control group.The patients in treatment group were treated with photodynamic therapy combined with compound betamethasone injection therapy.The patients in the control group were treated by compound betamethasone injection.The effect and recurrence rate were compared before and after treatment.Results The effective rate was 89.5％ in the treatment group,55.6％ in the control group,showing significant difference between the two groups (P =0.029).The relapse rate in treatment group was significantly lower than that in the control group (P =0.047).Conclusions Photodynamic therapy combined with compound betamethasone has good effect and safety for the treatment of hypertrophic scar.The combined treatment can reduce the treatment period and side effects of hormone use.