瘢痕内剥切联合得宝松注射治疗耳部瘢痕疙瘩

Treatment of ear keloids by core excision and intralesional injection of betamethason

目的:探讨瘢痕内剥除联合得宝松局部注射治疗耳部瘢痕疙瘩的效果。方法:34例耳部瘢痕疙瘩患者,年龄22～65岁,女性30例,男性4例,瘢痕疙瘩为不规则圆形、椭圆形、哑铃形等形状,体积0.5cm×0.5cm×0.7cm～4.2cm×3.0cm×5cm,病程1～40年。采用保留瘢痕皮肤的瘢痕内剥除塑形手术方法,术后即刻及后续联合得宝松瘢痕内注射治疗2～9次,0.1～1ml/次,两次之间间隔4周。结果:随访1～3年,30例瘢痕疙瘩变为线状或萎缩性瘢痕,治愈率73.5%,控制率14.7%,4例无效。结论:保留瘢痕皮肤的瘢痕内剥除塑形手术方法联合得宝松注射辅助治疗耳部瘢痕疙瘩安全高效,效果良好。

Objective To investigate the effects of treatments of ear keloids by core excision and intralesional injection of betamethason. Methods Totally 34 patients of ear keloids including 30 females and 4 males aged from 22 to 65 years old were selected, the dimensions of keloids ranged from 0.5cm×0.5cm ×0.7cm--4.2 cm ×3.0 cm ×5 cm with globular, ellipse and collar-button shapes; the disease lasted from 1 to 40 years. Keloids were treated by core excision and intralesional injection of betamethason immediately and after operation 2-9 times, 0. 1-1ml betamethason each time, once a month. Results 30 cases became line-shape or atrophic scar and showed good control in 1-3 years followup, cure rate was 73.5% and control rate was 14.7%, 4 cases relapsed. Conclusion It is safe and effective to treat ear keloids by the methods.