术后皮下埋没垂直褥式减张缝合联合90Sr-90Y敷贴治疗瘢痕疙瘩的临床效果

Clinical effect of subcutaneous buried vertical pad tension reduction suture combined with 90Sr-90Y application in the treatment of keloid after operation

目的探讨术后皮下埋没垂直褥式减张缝合联合90Sr-90Y敷贴治疗的临床效果。方法选取2018年8月至2020年2月牡丹江医学院附属红旗医院收治的100例瘢痕疙瘩患者作为研究对象,按照掷硬币法分为观察组(58例)和对照组(42例),观察组采用术后皮下埋没垂直褥式减张缝合联合90Sr-90Y敷贴治疗,对照组采用单纯90Sr-90Y敷贴治疗,比较两组的疗效及温哥华瘢痕量表(VSS)评分。结果观察组的总有效率高于对照组,差异有统计学意义(P<0.05);治疗1年后观察组VSS评分低于对照组,差异有统计学意义(P<0.05)。结论术后皮下埋没垂直褥式减张缝合联合90Sr-90Y敷贴治疗方法简便,治疗周期短,疗效好,副作用小,适合临床推广。

Objective To investigate the clinical effect of subcutaneous buried vertical pad tension reduction suture combined with 90Sr-90Y application after operation.Methods A total of 100 cases of keloid treated in Hongqi Hospital Affiliated to Mudanjiang Medical University from August 2018 to February 2020 were selected as the research subjects.They were divided into observation group(58 cases)and control group(42 cases)according to the method of coin tossing.The observation group was treated with subcutaneous buried vertical bedding compression suture combined with 90Sr-90Y application,the control group was treated with 90Sr-90Y application,and the curative effect and Vancouver scar scale(VSS)score were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 1 year of treatment,the VSS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Postoperative subcutaneous burying vertical pad compression suture combined with 90Sr-90Y application is a simple treatment,short treatment period,good efficacy,less side effects,suitable for clinical promotion.