术后早期放疗联合皮肤减张治疗复发性胸部瘢痕疙瘩的临床观察

Clinical Observation of Early Postoperative Radiotherapy Combined with Skin Stretch Reduction for Recurrent Chest Keloids

目的:探索复发性胸部瘢痕疙瘩切除术后早期放疗联合皮肤减张治疗的临床效果。方法:将60例患者随机分为2组,减张组34例术后早期放疗联合皮肤减张治疗,对照组26例仅行术后早期放疗处理。定期随访半年～1年。比较两组患者瘢痕宽度及增生程度、进行温哥华瘢痕量表(Vancouver scar scale,VSS)评分,观察其临床效果。结果:治疗后减张组VSS各指标评分均低于对照组,差异有统计学意义(P<0.05)。结论:术后早期放射治疗联合外用皮肤减张装置可以提高复发性胸部瘢痕疙瘩的治疗效果,美容效果较好,复发率低,值得临床推广应用。

Objective To explore the clinical effect of early postoperative radiotherapy combined with skin streth reduction for recurrent chest keloids. Methods Sixty patients were divided into two groups, 34 cases were treated with early postoperative radiotherapy combined with skin tension reduction in the tension reduction group. 26 cases in the control group were treated only with early postoperative radiotherapy. The patients were followed up for 6 months to 1 year. The scar width and degree of hypertrophy were compared between the two groups, and the Vancouver Scar Scale was scored to observe its clinical effect. Results After treatment, the scores of VSS in the tension reduction group were lower than those in the control group, the differences were statistically signifcant（P〈0.05）.Conclusion Early postoperative radiotherapy combined with external skin tension-reducing device can improve the treatment effect of recurrent chest keloids, with good cosmetic effect and low recurrence rate, which is worthy of clinical application.