动态综合系统疗法治疗耳郭瘢痕疙瘩的临床应用

Clinical study on dynamic comprehensive system therapy for the treatment of auricular keloids

目的探讨瘢痕防治动态综合系统疗法治疗耳郭瘢痕疙瘩的临床疗效。方法回顾性分析自2015年1月至2020年12月,昆明皮肤病专科医院皮肤科、山东省枣庄市皮肤病性病防治院外科和蔡景龙医疗美容门诊部共收治112例耳郭瘢痕疙瘩患者,采用动态综合系统疗法,瘢痕疙瘩厚度≤0.3 cm者(29例),以瘢痕内药物注射+皮肤浅层放射治疗(SRT-100)为主;瘢痕厚度>0.3 cm者(83例),以瘢痕手术切除耳郭重建+皮肤浅层放射治疗(SRT-100)为主,辅以药物口服和外用,1~3个月复查1次,根据瘢痕修复的情况进行动态综合治疗。根据图片资料、温哥华瘢痕量表(vancouver scar scale,VSS)、患者满意度、局部并发症和全身不良反应评价治疗效果。结果治愈102例(91.07%),有效10例(8.93%),有效率为100%;VSS量表治疗前平均12.6分,治疗后平均1.2分,其差异有统计学意义(P<0.01);治疗后满意104例(92.86%),比较满意8例(7.14%),满意率达100%;无明显的局部并发症和全身不良反应。结论瘢痕防治动态综合系统疗法治疗耳郭瘢痕疙瘩效果良好,值得临床推广应用。

Objective To explore the clinical efficacy of dynamic comprehensive system therapy for scar prevention and treatment in the treatment of auricular keloids.Methods A retrospective analysis was conducted from January 2015 to December 2020.A total of112 patients with auricular keloids were admitted to the Department of Dermatology at Kunming Dermatology Hospital,the Department of Surgery at Zaozhuang Dermatology Prevention and Treatment Hospital in Shandong Province,and the CaiJinglong Medical Aesthetics Clinic.Dynamic comprehensive system therapy was used.For patients with scar thickness≤0.3 cm,scar drug injection+superficial skin radiation therapy(SRT-100)was the main treatment(29 cases);For patients with scar thickness greater than 0.3 cm,scar surgery for auricular reconstruction and superficial skin radiation therapy(SRT-100)were the main treatment(83 cases),supplemented by oral and topical medication.Follow-ups were conducted once every 1-3 months,and dynamic comprehensive treatment was performed according to the condition of scar repair.Evaluate the treatment effect based on photo data,VSS,patient satisfaction,local complications,and systemic adverse reactions.Results One huandred and two cases(91.07%)were cured,10 cases(8.93%)were effective,and the effective rate reached 100%;The average score of the VSS scale before treatment was 12.6 points,and the average score after treatment was 1.2 points,with significant statistical significance(P<0.01);104 cases(92.86%)were satisfied after treatment,and 8 cases(7.14%)were relatively satisfied,with a satisfaction rate of 100%;No obvious local complications or systemic adverse reactions.Conclusion The dynamic comprehensive system therapy for scar prevention and treatment has a good effect on the treatment of auricular keloids,and is worthy of widespread promotion and application in clinical practice.