术后即时放疗在治疗疤痕疙瘩中的临床价值

Treatment Results of Keloids by Combined Surgical Excision with Immediate Postoperative Radiotherapy

我院在１９９１年５月～１９９４年１月对５０例疤痕疙瘩进行手术及术后即时放疗综合治疗的临床研究。术后２４小时内即开始接受放疗，照射使用浅层Ｘ线或高能电子束，剂量一般为２０００～２６００ｃＧｙ／２～３周，随诊最长３年零９个月，复发１例占２％。结果表明该方法既不影响切口的愈合又能有效地防止复发，具有疗程短，复发率低，美容效果好等优点，治疗疤痕疙瘩是可行的。

From May 1991 to Jan 1994, 50 patients suffering from keloids were treated by combined surgical excision with immediate postoperative radiotherapy. Either x-ray or high energy electron beam was accepted with 24H postopration. Total doses range from 2000 to 2600 cGy/2-3WK. All patients were followed-up with one recurrence and five apperence hypertrophic scar. It is indicated that immediate postoperative radiotherapy,possessing certain advantages such as shorter course and lower recurrence rate is an effective means for keloid.