穿耳孔致增生性瘢痕的原因与治疗

Causes and treatment for hypertropic scar of perforation in auricular lobule

目的 :探讨穿耳孔致增生性瘢痕的原因与治疗方法。方法 :分析 79例耳垂瘢痕患者的穿孔方法与配戴的耳饰 ,用手术加放射治疗。结果 :79例均经手术治疗 ,6例配合放射治疗 ,随访 6～ 12个月 ,76例效果满意 ,瘢痕变大 1例 ,失访 2例。结论 :穿耳孔宜用激光或经严格消毒后的注射器针头 ,配戴纯金或银耳饰。瘢痕体质者最好避免穿耳孔术。治疗耳垂瘢痕 。

Objective:To investigate the reasons and treatment for hypertropic scar(HTS) of perforation in auricular lobule. Method: 79 cases with HTS of auricular lobule were analyzed on the methods of perforation and the varieties of ear-jewelry (earrings etc.),and were treated with surgery and radiation therapy. Result: All were treated with surgery and 6 patients were treated with radiotherapy meanwhile. 77 patients were followed up for 6～12 months with good result except one. Conclusion: Auricular lobules are best perforated with Nd:YAG laser or semiconductor diode laser and syringe needle after strict sterilization. People should wear pure gold or silver jewel and one with cicatricial physique should avoid perforation in auricular lobule. Now HTS is mainly treated by synthetic methods in major with surgery.