瘢痕疙瘩术后90Sr-90Y同位素敷贴与普通放疗临床疗效比较

Comparison of cfinical efficacy of 90Sr.90y isotopes applicator and general radiotherapy after keloid surgery

目的对比并综合评价前胸壁瘢痕疙瘩切除术后患者接受90Sr-90Y同位素敷贴与电子线放疗的疗效。方法回顾性分析医院确诊为瘢痕疙瘩的80例患者的临床资料，80例分为术后行90Sr-90Y同位素敷贴组（A组）与普通放疗组（B组），每组40例，两组均进行门诊复查及定期随访。结果90Sr-90Y同位素敷贴与普通放疗有效率分别为94.7%、92.1%，复发率分别为5.3%和7.9%，不良反应发生率均为5%。结论瘢痕疙瘩术后患者采用90Sr-90Y同位素敷贴与普通放疗疗效相当，不良反应发生率均较低。临床应根据患者病情及意愿为其提供建议。

ObjectiveTo compare the effects of 90Sr-90Y isotope applicator and electronic line radiotherapy in patients with anterior chest wall keloid resection.MethodsRetrospectively analyzed the data of 80 cases with keloid, the patients were divided into postoperative 90Sr-90Y isotope application （group A） and conventional radiotherapy （group B）, 40 cases in each group. The two groups were all reexamined and regular follow-up.ResultsThe effective rate of 90Sr-90Y isotope compress and general radiotherapy were 94.7% and 92.1% respectively, the recurrence rates were 5.3% and 7.9% respectively, and the incidence of adverse reactions was 5%.ConclusionsThe therapeutic effect of 90Sr-90Y radioisotope applicator therapy and general radiotherapy are equivalent and the incidence of adverse reactions are both low. Clinical advices should be provided on the basis of the patient’s condition and willingness.